# SAINT LUKE'S HOSPITAL OF TRENTON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT LUKE'S HOSPITAL OF TRENTON
- **Other names:** Saint Luke's Green Hills Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699186387
- **Legal business name:** SAINT LUKE'S HOSPITAL OF TRENTON
- **Authorized official:** MR. GARY W JORDAN (CEO)
- **Authorized official phone:** (660) 358-5700

## Contact information

- **Practice address:** 3300 E 10TH ST, TRENTON, MO 64683-9579
- **Practice address phone:** (660) 359-3939
- **Practice address fax:** (660) 359-4372
- **Mailing address:** 189 IOWA BLVD, TRENTON, MO 64683-8343
- **Mailing address phone:** (660) 358-5750
- **Mailing address fax:** (660) 358-5740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/15/2014
- **Last updated:** 05/15/2014