Provider Demographics
NPI:1164836847
Name:SAINT LUKES HOSPITAL OF GARNETT INC
Entity Type:Organization
Organization Name:SAINT LUKES HOSPITAL OF GARNETT INC
Other - Org Name:ANDERSON COUNTY HOSPITAL FAMILY CARE CENTER SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:600-214-8104
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:GARNETT
Mailing Address - State:KS
Mailing Address - Zip Code:66032-0309
Mailing Address - Country:US
Mailing Address - Phone:785-448-3131
Mailing Address - Fax:785-448-3118
Practice Address - Street 1:309 N PINE ST
Practice Address - Street 2:
Practice Address - City:COLONY
Practice Address - State:KS
Practice Address - Zip Code:66015-7279
Practice Address - Country:US
Practice Address - Phone:785-448-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH002001K207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110439Medicare PIN