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DSH260138W 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 LUKES CANCER SPECIALIST NORTH - Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260138W
Medicare Provider Number
260138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/4/2023
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
5844 NW BARRY RD
STE 40
KANSAS CITY, MO 64154-1483
Billing Address
Saint Luke's Hospital
PO Box 5870
Kansas City, MO 64171
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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