Healthcare Provider Details

I. General information

NPI: 1487714879
Provider Name (Legal Business Name): SAINT LUKE'S EAST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N.E. SAINT LUKE'S BLVD
LEE'S SUMMIT MO
64086
US

IV. Provider business mailing address

100 N.E. SAINT LUKE'S BLVD
LEE'S SUMMIT MO
64086
US

V. Phone/Fax

Practice location:
  • Phone: 816-347-5000
  • Fax:
Mailing address:
  • Phone: 816-347-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE PAGELS
Title or Position: CFO
Credential: M.D.
Phone: 816-347-5000