Provider Demographics
NPI:1821062688
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:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-214-8106
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:660-359-5621
Mailing Address - Fax:
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:660-359-5621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT LUKE'S HOSPITAL OF TRENTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-16
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO010492205Medicaid
MO26Z309Medicare Oscar/Certification