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DSH260138G ST. LUKE'S HOSPITAL OF KANSAS CITY (Terminated)
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Main Details
Name
ST. LUKE'S HOSPITAL OF KANSAS CITY
Subdivision Name
INFUSION CENTER AT CREEKWOOD
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260138G
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
8/29/2018
Termination Date
Termination Reason
4/1/2019
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
5400 N OAK TRFY
STE 102
KANSAS CITY, MO 64118-4688
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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