SAINT LUKES HOSPITAL OF TRENTON (NPI# 1831202431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831202431 |
Entity Type | Organization |
Organization Name | SAINT LUKES HOSPITAL OF TRENTON |
Other Organization Name | WRIGHT MEMORIAL JAMESPORT CLINIC |
Practice Address |
301 W 2nd St Jamesport MO 64648-8208 |
Mailing Address |
189 Iowa Blvd Trenton MO 64683-8343 |
Practice Telephone | 6606846244 |
Practice Fax Number | 6606846246 |
Mailing Telephone | 6603585750 |
Mailing Fax Number | 6603585740 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2014-05-14 |
Authorized Official Name | GARY W JORDAN (CEO) |
Authorized Official Telephone | 6603585700 |
Is Organization Subpart | Y |
Parent Organization Name | SAINT LUKES HOSPITAL OF TRENTON |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
99778 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 208D00000X | General Practice | DOR9350 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 508190006 | 05 |
Other Name | Type Code |
---|---|
Wright Memorial Jamesport Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992024103 | Saint Lukes Hospital of Trenton | Obstetrics & Gynecology | 902 Custer St, Trenton, MO 64683-2238 | 2010-05-27 |
1275852519 | Saint Lukes Hospital of Trenton | Family Medicine | 189 Iowa Blvd, Trenton, MO 64683-8346 | 2010-05-26 |
1184730590 | Saint Lukes Hospital of Trenton | Obstetrics & Gynecology | 902 Custer St, Trenton, MO 64683-2238 | 2006-08-21 |
1700895711 | Saint Lukes Hospital of Trenton | Clinic/Center | 189 Iowa Blvd, Trenton, MO 64683-8343 | 2006-08-07 |
Street Address |
301 W 2ND ST |
City | JAMESPORT |
State | MO |
Zip Code | 64648-8208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538700943 | Joyce Ann Flanders | Massage Therapist | 109 W Auberry Grove, Jameport, MO 64648 | 2019-10-07 |
1215075536 | Judith Louise Oday | Counselor | 200 North Williams St, Jamesport, MO 64648 | 2007-02-01 |
1902834930 | Muhammad Mudassar Amin | Internal Medicine | 409 West Auberry Grove, Jamesport, MO 64648 | 2006-06-29 |
1740738210 | Tucker Chiropractic Center, LLC | Chiropractor | 208 S Williams St, Jamesport, MO 64648 | 2016-09-14 |
1952433013 | Glenn M Tucker | Chiropractor | 208 South Williams Street, Jamesport, MO 64648-0133 | 2007-03-12 |
1730366535 | Tucker Chiropractic Center | Chiropractor | 208 South Williams Street, Jamesport, MO 64648-0133 | 2008-01-24 |
1114160132 | Dana Raylene Urton | Specialist | 204 W Auberry Grv, Jamesport, MO 64648-7185 | 2009-04-07 |
1114473949 | Hunter White | Chiropractor | 208 S Williams St, Jamesport, MO 64648-7187 | 2016-08-31 |
1760466882 | Dawn M Estes | Nurse Practitioner | 409 W Auberry Grv, Jamesport, MO 64648-7189 | 2005-12-01 |
1831746973 | Kimberly K Slaughter | Nurse Practitioner | 409 W Auberry Grv, Jamesport, MO 64648-7189 | 2019-08-22 |
Find all providers in zip 64648 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.