Organization
SAINT LUKES HOSPITAL OF TRENTON
Active
Parent organization
SAINT LUKES HOSPITAL OF TRENTON
Other names
Wright Memorial Jamesport Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT LUKES HOSPITAL OF TRENTON
Authorized official
GARY W JORDAN (CEO)
(660) 358-5700
Entity
Organization
Contact information
Practice address
301 W 2ND ST, JAMESPORT, MO 64648-8208
(660) 684-6244
(660) 684-6246
Mailing address
189 IOWA BLVD, TRENTON, MO 64683-8343
(660) 358-5750
(660) 358-5740
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DOR9350
MO
363LF0000X
Family Nurse Practitioner
99778
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508190006
—
MO
Enumeration date
08/16/2006
Last updated
05/14/2014
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