Covered Entity Details

DSH260138H ST. LUKES HOSPITAL OF KANSAS CITY (Terminated) - information as of 5/27/2025 11:43:41 PM

Main Details

Name

ST. LUKES HOSPITAL OF KANSAS CITY

Subdivision Name

SAINT LUKE'S TRANSPLANT EVALUATION

Type

Disproportionate Share Hospital

Rural

340B ID

DSH260138H

Medicare Provider Number

260138

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

7/15/2015

Participating Start Date

10/1/2015

Participating Approval Date

7/28/2015

Last Recertification Date

Termination Date
Termination Reason

4/1/2016
Site closure

Contacts

Authorizing Official

Saint Luke's Hospital of Kansas City
Amy Nachtigal, VP Finance
(816) 932-3318

Primary Contact

Saint Luke's Hospital
Jeff Little, Director of Pharmacy
(816) 932-2408

Addresses

Street Address

1035 N EMPORIA
STE 185
WICHITA, KS 67214-2993

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MO	010326106
		1063494177

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH260138A	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	ST. LUKE'S HOSPITAL INFUSION CENTER, DR. TIMOTHY PLUARD	4321 WASHINGTON	KANSAS CITY	MO	Terminated
DSH260138B	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	SLH Infusion Center at SLEH	110 NE St Lukes Blvd	LEE'S SUMMIT	MO	Active
DSH260138C	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke’s Infusion Center – South	12330 Metcalf Ave	Overland Park	KS	Active
DSH260138D	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	SLH Abdominal Transplant and Multispecialty Clinic	4321 Washinton St	Kansas City	MO	Active
DSH260138E	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Kidney Transplant Clinic	4321 Washington St Suite 4000	Kansas City	MO	Active
DSH260138F	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Heart Transplant Clinic	4321 Washington Street	Kansas City	MO	Active
DSH260138G	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	INFUSION CENTER AT CREEKWOOD	5400 N OAK TRFY	KANSAS CITY	MO	Terminated
DSH260138H	Child	DSH	ST. LUKES HOSPITAL OF KANSAS CITY	SAINT LUKE'S TRANSPLANT EVALUATION	1035 N EMPORIA	WICHITA	KS	Terminated
DSH260138J	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	SAINT LUKE'S HOSPITAL-INFUSION CENT	2529 GLENN HENDREN DR	LIBERTY	MO	ToBeTerminated
DSH260138K	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Women's Care	4320 Wornall Road	Kansas City	MO	Active
DSH260138L	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Multispecialty Clinic	4320 Wornall Road	Kansas City	MO	Active
DSH260138M	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Pain Management Clinic	4321 Washington Street	Kansas City	MO	Active
DSH260138N	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Cancer Specialists - Liberty / Medical Oncology - Liberty -973980	2529 Glenn Hendren Dr. Suite G20	Liberty	MO	ToBeTerminated
DSH260138P	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Cancer Specialists - North / Medical Oncology - North - 973950	5400 North Oak Trfwy Suite 101	Kansas City	MO	Terminated
DSH260138Q	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Cancer Specialists - Lee's Summit / Medical Oncology - East - 973940	110 North East Saint Luke's Blvd Suite 500	Lee's Summit	MO	Active
DSH260138R	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Cancer Specialists - South / Medical Oncology - South - 973930	12330 Metcalf Avenue Suite 580	Overland Park	KS	Active
DSH260138S	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Cancer Specialists / Medical Oncology Practice 718100	4321 Washington Street Suite 4000	Kansas City	MO	Terminated
DSH260138T	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Cancer Specialists / Gynecology Oncology 718050	4321 Washington Street Suite 4000	Kansas City	MO	Terminated
DSH260138U	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Hospital Koontz Center for Advanced Breast Cancer	4321 Washington St.	Kansas City	MO	Terminated
DSH260138V	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	Saint Luke's Hospital Valve and Vascular Clinic - Saint Luke's Hospital Valve and Vascular Clinic	4320 Wornall Rd.	Kansas City	MO	Active
DSH260138W	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	SAINT LUKES CANCER SPECIALIST NORTH - Oncology	5844 NW BARRY RD	KANSAS CITY	MO	Active
DSH260138X	Child	DSH	ST. LUKE'S HOSPITAL OF KANSAS CITY	SAINT LUKES HOSPITAL INFUSION CENTE - Oncology	5844 NW BARRY RD	KANSAS CITY	MO	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Nachtigal, Amy CFO Saint Luke's Hospital of Kansas City 8169323318	Nachtigal, Amy VP Finance Saint Luke's Hospital of Kansas City 8169323318	4/14/2025 1:59 PM
Contacts	Signed By	Update	Profile Change Request	Nachtigal, Amy CFO Saint Luke's Hospital of Kansas City 8169323318	Nachtigal, Amy VP Finance Saint Luke's Hospital of Kansas City 8169323318	4/14/2025 1:59 PM
Contacts	Authorizing Official	Update		Nachtigal, Amy CFO 8169323318	Nachtigal, Amy CFO Saint Luke's Hospital of Kansas City 8169323318	10/25/2017 2:23 PM
Contacts	Signed By	Update		Nachtigal, Amy CFO 8169323318	Nachtigal, Amy CFO Saint Luke's Hospital of Kansas City 8169323318	10/25/2017 2:23 PM
Contacts	Primary Contact	Update		Little, Jeff Director of Pharmacy 8169322408	Little, Jeff Director of Pharmacy Saint Luke's Hospital 8169322408	10/9/2017 2:19 PM
Contacts	Authorizing Official	Insert			Nachtigal, Amy CFO 8169323318	7/24/2017 6:51 PM
Contacts	Signed By	Insert			Nachtigal, Amy CFO 8169323318	7/24/2017 6:51 PM
Contacts	Primary Contact	Insert			Little, Jeff Director of Pharmacy 8169322408	7/24/2017 6:51 PM
Addresses	Main Address	Insert			1035 N EMPORIA STE 185 WICHITA, KS 67214-2993	3/9/2016 10:03 AM
Dates	Last Date That 340B Drugs Purchased	Update			1/1/2016 12:00:00 AM	3/9/2016 10:03 AM
Details	State	Update		Active	Terminated	3/9/2016 10:03 AM
Terminations	Termination Comments	Update			The ownership of this clinic is being transferred on 3/1/2016 away from the covered entity. No 340B drugs were ever purchased at this site. The menu above made me select a date.	3/9/2016 10:03 AM
Terminations	Termination Date	Update			4/1/2016 12:00:00 AM	3/9/2016 10:03 AM
Terminations	Termination Effective Date	Update			3/1/2016 12:00:00 AM	3/9/2016 10:03 AM
Terminations	Termination Reason	Update			Site closure	3/9/2016 10:03 AM
Dates	Participating Approval Date	Update			7/28/2015 12:00:00 AM	7/28/2015 10:23 AM
Details	State	Update		Pending	Active	7/28/2015 10:23 AM
Dates	Start Date	Update			10/1/2015 12:00:00 AM	7/28/2015 10:23 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_53874	DSH260138H	7/28/2015 9:32 AM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_53874	7/15/2015 1:05 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	7/15/2015 1:05 PM
Medicaid Billing	Medicaid: Number	Insert			010326106	7/15/2015 1:05 PM
Medicaid Billing	Medicaid: State	Insert			MO	7/15/2015 1:05 PM
Medicaid Billing	NPI: Number	Insert			1063494177	7/15/2015 1:05 PM
Details	Last Recertification Date	Insert				7/15/2015 1:05 PM
Details	Grant Number	Insert				7/15/2015 1:05 PM
Details	340B ID	Insert				7/15/2015 1:05 PM
Details	Is Authorizing Official EHB Data	Insert				7/15/2015 1:05 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/15/2015 1:05 PM
Details	Medicare Provider Number	Insert			260138	7/15/2015 1:05 PM
Details	Entity Name	Insert			ST. LUKES HOSPITAL OF KANSAS CITY	7/15/2015 1:05 PM
Details	Program Code	Insert			DSH	7/15/2015 1:05 PM
Details	Entity Subname	Insert			SAINT LUKE'S TRANSPLANT EVALUATION	7/15/2015 1:05 PM
Dates	Participating Approval Date	Insert				7/15/2015 1:05 PM
Details	State	Insert			Pending	7/15/2015 1:05 PM
Dates	Registration Date	Insert			7/15/2015 12:00:00 AM	7/15/2015 1:05 PM
Dates	Signed By Date	Insert			7/15/2015 12:00:00 AM	7/15/2015 1:05 PM
Dates	Start Date	Insert				7/15/2015 1:05 PM
Terminations	Termination Comments	Insert				7/15/2015 1:05 PM
Terminations	Termination Date	Insert				7/15/2015 1:05 PM
Terminations	Termination Effective Date	Insert				7/15/2015 1:05 PM
Terminations	Termination Reason	Insert				7/15/2015 1:05 PM