Organization
SAINT LUKES HOSPITAL OF TRENTON
Active
Parent organization
SATINT LUKES HOSPITAL OF TRENTON
Other names
Wright Memorial Custer Street Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATINT LUKES HOSPITAL OF TRENTON
Authorized official
KAREN S COLE (CHIEF EXECUTIVE OFFICER)
(660) 359-5621
Entity
Organization
Contact information
Practice address
902 CUSTER ST, TRENTON, MO 64683-2238
(660) 339-7294
(660) 339-7925
Mailing address
902 CUSTER ST, TRENTON, MO 64683-2238
(660) 339-7294
(660) 339-7925
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2006018921
MO
208D00000X
General Practice Physician
DOR9350
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508190006
—
MO
Enumeration date
08/21/2006
Last updated
02/01/2010
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