# SAINT LUKES HOSPITAL OF TRENTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SATINT LUKES HOSPITAL OF TRENTON
- **Other names:** Wright Memorial Custer Street Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184730590
- **Legal business name:** SATINT LUKES HOSPITAL OF TRENTON
- **Authorized official:** KAREN S COLE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (660) 359-5621

## Contact information

- **Practice address:** 902 CUSTER ST, TRENTON, MO 64683-2238
- **Practice address phone:** (660) 339-7294
- **Practice address fax:** (660) 339-7925
- **Mailing address:** 902 CUSTER ST, TRENTON, MO 64683-2238
- **Mailing address phone:** (660) 339-7294
- **Mailing address fax:** (660) 339-7925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2006018921 | MO | — |
| 208D00000X | General Practice Physician | DOR9350 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 02/01/2010
