Organization
ST. LUKE'S HOSPITAL
Active
Parent organization
ST. LUKE'S HOSPITAL
Other names
SLH/UT Family Medicine Residency Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S HOSPITAL
Authorized official
MR. DENNIS R. WAGNER (REVENUE CYCLE DIRECTOR)
(419) 891-8024
Entity
Organization
Contact information
Practice address
6005 MONCLOVA RD, SLH/UT FAMILY MEDICINE RESIDENCY PROGRAM, MAUMEE, OH 43537
(419) 891-8024
Mailing address
601 WASHINGTON AVE., COMPREHENSIVE MEDICAL MANAGEMENT, NEWPORT, KY 41018
(859) 655-8554
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7648602
—
OH
Enumeration date
01/02/2009
Last updated
01/05/2009
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