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DSH260138N 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 Cancer Specialists - Liberty / Medical Oncology - Liberty -973980
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260138N
Medicare Provider Number
260138
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
7/5/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/18/2016
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 G20
Liberty, MO 64068
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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