Healthcare Provider Details

I. General information

NPI: 1821062688
Provider Name (Legal Business Name): SAINT LUKE'S HOSPITAL OF TRENTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 IOWA BLVD
TRENTON MO
64683-8343
US

IV. Provider business mailing address

191 IOWA BLVD
TRENTON MO
64683-8343
US

V. Phone/Fax

Practice location:
  • Phone: 660-359-5621
  • Fax:
Mailing address:
  • Phone: 660-359-5621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: ERIN PARDE
Title or Position: CFO
Credential:
Phone: 816-880-5277