=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801443320
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ST. LUKE'S SURGERY CENTER OF CHESTERFIELD, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2019
-----------------------------------------------------
Last Update Date | 09/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 111 ST. LUKE'S CENTER DRIVE BLDG B, SUITE 500
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63017-3509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-387-0510
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 111 SAINT LUKES CENTER DRIVE BLDG B, SUITE 500
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63017-3509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-798-7100
-----------------------------------------------------
Fax | 314-798-7101
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BOARD CHAIR
-----------------------------------------------------
Name | RICHARD RAMES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 314-798-7100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------