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CAH171356-00 ST. LUKE HOSPITAL (Active)
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Main Details
Name
ST. LUKE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH171356-00
Medicare Provider Number
171356
Additional Details
Current Program Status
Active
Registration Date
4/13/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/19/2015
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
St. Luke Hospital
Alex Haines, CEO
(620) 382-2177 Ext: 111
Primary Contact
St Luke Hospital and Living Center
Sharon Elaine Boone, Compliance Officer
(620) 382-2177 Ext: 196
Addresses
Street Address
535 SOUTH FREEBORN
MARION, KS 66861
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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