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DSH260138M ST. LUKE'S HOSPITAL OF KANSAS CITY (Active)
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Main Details
Name
ST. LUKE'S HOSPITAL OF KANSAS CITY
Subdivision Name
Pain Management Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260138M
Medicare Provider Number
260138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/13/2016
Last Recertification Date
8/22/2024
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
4321 Washington Street
Med Plaza III Suite 1200
Kansas City, MO 64111
Billing Address
Saint Luke's Hospital
PO Box 5870
Kansas City, MO 64171-0870
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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