Healthcare Provider Details

I. General information

NPI: 1053353490
Provider Name (Legal Business Name): SAINT LUKES EAST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NE SAINT LUKES BLVD
LEES SUMMIT MO
64086-6000
US

IV. Provider business mailing address

PO BOX 504197
SAINT LOUIS MO
63150-0001
US

V. Phone/Fax

Practice location:
  • Phone: 816-347-5000
  • Fax:
Mailing address:
  • Phone: 816-932-5450
  • Fax: 816-932-1694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number495-0
License Number StateMO

VIII. Authorized Official

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