Healthcare Provider Details
I. General information
NPI: 1932642972
Provider Name (Legal Business Name): ST LUKES HOSPITAL OF KANSAS CITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/23/2016
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10918 ELM AVE
KANSAS CITY MO
64134-4108
US
IV. Provider business mailing address
10918 ELM AVE
KANSAS CITY MO
64134-4199
US
V. Phone/Fax
- Phone: 816-765-6600
- Fax:
- Phone: 816-765-6600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
NACHTIGAL
Title or Position: VICE PRESIDENT
Credential:
Phone: 816-932-3318