MEDICARE: SAINT LUKES HOSPITAL OF CHILLICOTHE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207V00000X	Obstetrics & Gynecology Physician
2	207X00000X	Orthopaedic Surgery Physician
3	208600000X	Surgery Physician
4	207RC0000X	Cardiovascular Disease Physician
5	207RP1001X	Pulmonary Disease Physician
6	207L00000X	Anesthesiology Physician
7	207P00000X	Emergency Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245433127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT LUKES HOSPITAL OF CHILLICOTHE

Provider Business Mailing Address
First Line	:	2799 N WASHINGTON
Second Line	:
City	:	CHILLICOTHEE
State	:	MO
Zip	:	64601-2902
Country	:	US
Telephone Number	:	660-646-2682
Fax Number	:

Provider Business Practice Location Address
First Line	:	2799 N WASHINGTON
Second Line	:
City	:	CHILLICOTHEE
State	:	MO
Zip	:	64601-2902
Country	:	US
Telephone Number	:	660-646-2682
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	ERIN PARDE
Credential	:
Telephone Number	:	816-880-5277

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	11/25/2024

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Directions to “SAINT LUKES HOSPITAL OF CHILLICOTHE ” Practice Location

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