Organization
SAINT LUKES CUSHING HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN PARDE (CFO)
(816) 880-5277
Entity
Organization
Contact information
Practice address
711 MARSHALL ST, LEAVENWORTH, KS 66048-3235
(913) 684-1100
Mailing address
711 MARSHALL ST, LEAVENWORTH, KS 66048-3235
(913) 684-1100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
052-001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000008
BLUE CROSS
KS
05
—
100088000A
—
KS
01
—
90073017
KC BLUE CROSS
MO
Enumeration date
06/15/2006
Last updated
08/01/2019
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