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DSH260138J ST. LUKE'S HOSPITAL OF KANSAS CITY (ToBeTerminated)
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Main Details
Name
ST. LUKE'S HOSPITAL OF KANSAS CITY
Subdivision Name
SAINT LUKE'S HOSPITAL-INFUSION CENT
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260138J
Medicare Provider Number
260138
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/28/2015
Last Recertification Date
8/22/2024
Termination Date
Termination Reason
7/1/2025
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 of Kansas City
Connor Matthew Flanagin, Director of Pharmacy
(816) 932-2431
Addresses
Street Address
2529 GLENN HENDREN DR
SUITE G30
LIBERTY, MO 64068-9607
Billing Address
Saint Luke's Hospital
PO Box 5870
Kansas City, MO 64171-0870
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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