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	License Number	License Number State
1	282NC0060X	Critical Access Hospital
2	275N00000X	Medicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number	:	1881638203
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	:	660-646-1480
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	:	660-646-1480
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	11/25/2024

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