Provider Demographics
NPI:1376911024
Name:SAINT LUKES NEIGHBORHOOD CLINICS LLC
Entity Type:Organization
Organization Name:SAINT LUKES NEIGHBORHOOD CLINICS LLC
Other - Org Name:SAINT LUKE'S CONVENIENT CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:SR VP CFO SLHS
Authorized Official - Prefix:
Authorized Official - First Name:CHUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-932-3729
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400N
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4517
Mailing Address - Country:US
Mailing Address - Phone:816-502-8782
Mailing Address - Fax:
Practice Address - Street 1:8501 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3220
Practice Address - Country:US
Practice Address - Phone:913-323-8880
Practice Address - Fax:913-323-8881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT LUKES HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-11
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty