Organization
SAINT LUKES SOUTH HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L MARINO (VP, CHIEF ACCOUNTING OFFICER)
(816) 347-5000
Entity
Organization
Contact information
Practice address
12300 METCALF AVE, OVERLAND PARK, KS 66213
(913) 317-7604
Mailing address
PO BOX 503820, SAINT LOUIS, MO 63150-0001
(913) 317-7000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H46009
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013990007
—
MO
05
—
100332210A
—
KS
01
—
19769
HEALTHCARE USA
—
01
—
2063906
AETNA
—
01
—
354280
FIRST GUARD
—
01
—
4810326201
COMMUNITY HEALTH
—
01
—
700850
FAMILY HEALTH PARTNERS
—
01
—
702748
BLUE CROSS
KS
01
—
90809016
BLUE CROSS
MO
Enumeration date
11/15/2005
Last updated
10/16/2025
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