Healthcare Provider Details

I. General information

NPI: 1356124309
Provider Name (Legal Business Name): SAINT LUKE'S NORTH SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8660 NE 82ND TERR STE 100
KANSAS CITY MO
64158
US

IV. Provider business mailing address

8660 NE 82ND TERR STE 100
KANSAS CITY MO
64158
US

V. Phone/Fax

Practice location:
  • Phone: 816-437-8101
  • Fax:
Mailing address:
  • Phone: 816-437-8101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN PARDE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 816-880-5277