SAINT LUKE'S HOSPITAL OF TRENTON (NPI# 1891937520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891937520 |
| Entity Type | Organization |
| Organization Name | SAINT LUKE'S HOSPITAL OF TRENTON |
| Other Organization Name | WRIGHT MEMORIAL CUSTER STREET CLINIC |
| Practice Address |
902 Custer St Trenton MO 64683-2238 |
| Mailing Address |
701 E 1st St Trenton MO 64683-2402 |
| Practice Telephone | 6603397294 |
| Mailing Telephone | 6606846244 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |
| 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 Custer Street Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154563815 | Saint Luke's Hospital of Trenton | Clinic/Center | 103 2nd St., Jamesport, MO 64648-8206 | 2009-03-27 |
| 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 |
| 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 |
902 CUSTER ST |
| City | TRENTON |
| State | MO |
| Zip Code | 64683-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013908052 | David L Ryan | Family Medicine | 902 Custer St, Trenton, MO 64683-2238 | 2005-10-31 |
| 1992024103 | Saint Lukes Hospital of Trenton | Obstetrics & Gynecology | 902 Custer St, Trenton, MO 64683-2238 | 2010-05-27 |
| 1184730590 | Saint Lukes Hospital of Trenton | Obstetrics & Gynecology | 902 Custer St, Trenton, MO 64683-2238 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437499548 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1828 E 9th St, Trenton, MO 64683 | 2013-02-26 |
| 1891979126 | Premier Residential Care LLC | Assisted Living Facility | 109 E Crowder Road, Trenton, MO 64683 | 2007-12-21 |
| 1942337662 | Green Hills Rural Development, Inc, Dba North Central Missouri Advocac | Counselor | 703 Main, Trenton, MO 64683 | 2007-02-28 |
| 1083700645 | Jjoseph Goodin Slonecker | Dentist | 152 East 8th Street, Trenton, MO 64683 | 2006-10-04 |
| 1831296953 | William Robert Mchargue | Dentist | 2700 Oklahoma Avenue, Trenton, MO 64683 | 2006-09-20 |
| 1356380703 | Henson Chiropractic Clinic Pa | Chiropractor | 203 E. 9th Street, Suite D, Trenton, MO 64683 | 2006-06-04 |
| 1649242876 | Grundy County Nursing Home | Skilled Nursing Facility | 1311 E 28th St, Trenton, MO 64683 | 2006-02-02 |
| 1093786873 | Gregory Dean Cross | Pharmacist | 616 East 1 Street, Trenton, MO 64683 | 2006-01-30 |
| 1285618306 | Paula J Gimson | Nurse Practitioner | 189 Iowa Blvd, Trenton, MO 64683 | 2005-12-01 |
| 1851517437 | Green Hills Superior Care, Inc. | Community/Behavioral Health | 915 E 9th St, Trenton, MO 64683-0216 | 2007-04-18 |
| Find all providers in zip 64683 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154563815 | Saint Luke's Hospital of Trenton | Clinic/Center | 103 2nd St., Jamesport, MO 64648-8206 | 2009-03-27 |
| 1437666872 | Macon County Samaritan Hospital | Clinic/Center | 1201 N Rutherford St, Macon, MO 63552-2020 | 2018-01-08 |
| 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.