Healthcare Provider Details

I. General information

NPI: 1942378351
Provider Name (Legal Business Name): SAINT LUKE'S EAST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NE SAINT LUKES BLVD
LEES SUMMIT MO
64086
US

IV. Provider business mailing address

100 NE SAINT LUKES BLVD
LEES 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 TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW MARINO
Title or Position: CFO
Credential:
Phone: 816-347-5000