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General NPI Number Information
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NPI Number | 1912948308
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Entity Type | Organization
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Legal Business Name | SAINT LUKES HOSPITAL OF CHILLICOTHE
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2799 N WASHINGTON
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City | CHILLICOTHEE
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State | MO
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Zip | 64601-2902
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Country | US
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Telephone | 660-646-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 2799 N WASHINGTON
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City | CHILLICOTHEE
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State | MO
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Zip | 64601-2902
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Country | US
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Telephone | 660-646-1480
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ERIN PARDE
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Credential |
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Telephone | 816-880-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 442-9
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License Number State | MO
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