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Organization

SAINT LUKE'S HOSPITAL OF TRENTON

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
Legal business name
SAINT LUKE'S HOSPITAL OF TRENTON
Authorized official
MR. GARY W JORDAN (CEO)
(660) 358-5700
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/15/2014
Last updated
05/15/2014
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