Provider Demographics
NPI:1376888321
Name:SAINT LUKE'S HOSPITAL OF TRENTON
Entity Type:Organization
Organization Name:SAINT LUKE'S HOSPITAL OF TRENTON
Other - Org Name:WRIGHT MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-214-8104
Mailing Address - Street 1:191 IOWA BLVD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:64683-8343
Mailing Address - Country:US
Mailing Address - Phone:660-358-5780
Mailing Address - Fax:660-358-5781
Practice Address - Street 1:191 IOWA BLVD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MO
Practice Address - Zip Code:64683-8343
Practice Address - Country:US
Practice Address - Phone:660-358-5780
Practice Address - Fax:660-358-5781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO261309Medicare PIN
MO184274059Medicare UPIN