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DSH260138Q ST. LUKE'S HOSPITAL OF KANSAS CITY (Active)
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Main Details
Name
ST. LUKE'S HOSPITAL OF KANSAS CITY
Subdivision Name
Saint Luke's Cancer Specialists - Lee's Summit / Medical Oncology - East - 973940
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260138Q
Medicare Provider Number
260138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/5/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/18/2016
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
110 North East Saint Luke's Blvd Suite 500
Lee's Summit, MO 64086
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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