SAINT LUKE'S HOSPITAL OF TRENTON (NPI# 1154563815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154563815 |
Entity Type | Organization |
Organization Name | SAINT LUKE'S HOSPITAL OF TRENTON |
Other Organization Name | WRIGHT MEMORIAL JAMESPORT CLINIC |
Practice Address |
103 2nd St. Jamesport MO 64648-8206 |
Mailing Address |
701 E 1st St Trenton MO 64683-2402 |
Practice Telephone | 6606846244 |
Mailing Telephone | 6606846244 |
Enumeration Date | 2009-03-27 |
Last Update Date | 2009-03-27 |
Authorized Official Name | KAREN S COLE (CEO) |
Authorized Official Telephone | 6603595621 |
Is Organization Subpart | Y |
Parent Organization Name | SAINT LUKE'S HOSPITAL OF TRENTON |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
413-14 | MO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Wright Memorial Jamesport Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023250800 | Saint Luke's Hospital of Trenton | Clinic/Center | 618 E 1st St, Trenton, MO 64683-2401 | 2009-03-25 |
1467436683 | Saint Luke's Hospital of Trenton | Home Health | 605 E 9th St, Trenton, MO 64683-2210 | 2005-12-01 |
1841274057 | Saint Luke's Hospital of Trenton | General Acute Care Hospital | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2005-12-01 |
1962877514 | Saint Luke's Hospital of Trenton | Family Medicine | 400 N Fullerton St, Princeton, MO 64673-1418 | 2015-12-08 |
1699186387 | Saint Luke's Hospital of Trenton | Family Medicine | 3300 E 10th St, Trenton, MO 64683-9579 | 2014-05-15 |
1376888321 | Saint Luke's Hospital of Trenton | Pharmacy | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2012-12-03 |
1891937520 | Saint Luke's Hospital of Trenton | Clinic/Center | 902 Custer St, Trenton, MO 64683-2238 | 2009-03-26 |
1851572234 | Saint Luke's Hospital of Trenton | Internal Medicine | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2007-11-14 |
1821062688 | Saint Luke's Hospital of Trenton | Medicare Defined Swing Bed Unit | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2006-02-16 |
1811972151 | Saint Luke's Hospital of Trenton | Hospice Care, Community Based | 605 E 9th St, Trenton, MO 64683-2210 | 2005-12-09 |
Street Address |
103 2ND ST. |
City | JAMESPORT |
State | MO |
Zip Code | 64648-8206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538700943 | Joyce Ann Flanders | Massage Therapist | 109 W Auberry Grove, Jameport, MO 64648 | 2019-10-07 |
1215075536 | Judith Louise Oday | Counselor | 200 North Williams St, Jamesport, MO 64648 | 2007-02-01 |
1902834930 | Muhammad Mudassar Amin | Internal Medicine | 409 West Auberry Grove, Jamesport, MO 64648 | 2006-06-29 |
1740738210 | Tucker Chiropractic Center, LLC | Chiropractor | 208 S Williams St, Jamesport, MO 64648 | 2016-09-14 |
1952433013 | Glenn M Tucker | Chiropractor | 208 South Williams Street, Jamesport, MO 64648-0133 | 2007-03-12 |
1730366535 | Tucker Chiropractic Center | Chiropractor | 208 South Williams Street, Jamesport, MO 64648-0133 | 2008-01-24 |
1114160132 | Dana Raylene Urton | Specialist | 204 W Auberry Grv, Jamesport, MO 64648-7185 | 2009-04-07 |
1114473949 | Hunter White | Chiropractor | 208 S Williams St, Jamesport, MO 64648-7187 | 2016-08-31 |
1760466882 | Dawn M Estes | Nurse Practitioner | 409 W Auberry Grv, Jamesport, MO 64648-7189 | 2005-12-01 |
1831746973 | Kimberly K Slaughter | Nurse Practitioner | 409 W Auberry Grv, Jamesport, MO 64648-7189 | 2019-08-22 |
Find all providers in zip 64648 |
Taxonomy Code | 261QC0050X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Critical Access Hospital |
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023250800 | Saint Luke's Hospital of Trenton | Clinic/Center | 618 E 1st St, Trenton, MO 64683-2401 | 2009-03-25 |
1437666872 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2018-01-08 |
1891937520 | Saint Luke's Hospital of Trenton | Clinic/Center | 902 Custer St, Trenton, MO 64683-2238 | 2009-03-26 |
1891734505 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2006-06-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.