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DSH260138H ST. LUKES HOSPITAL OF KANSAS CITY (Terminated)
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Main Details
Name
ST. LUKES HOSPITAL OF KANSAS CITY
Subdivision Name
SAINT LUKE'S TRANSPLANT EVALUATION
Type
Disproportionate Share Hospital
Rural
No
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
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