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DSH260138S ST. LUKE'S HOSPITAL OF KANSAS CITY (Terminated)
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Main Details
Name
ST. LUKE'S HOSPITAL OF KANSAS CITY
Subdivision Name
Saint Luke's Cancer Specialists / Medical Oncology Practice 718100
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260138S
Medicare Provider Number
260138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/5/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/18/2016
Last Recertification Date
9/1/2022
Termination Date
Termination Reason
10/1/2023
Outpatient facility moved within the 4 walls of the parent hospital
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
4321 Washington Street Suite 4000
Kansas City, MO 64111
Billing Address
Saint Luke's Hospital
PO Box 5870
Kansas City, MO 64717-0870
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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