Provider Demographics
NPI:1851624381
Name:ST. LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL
Entity Type:Organization
Organization Name:ST. LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL
Other - Org Name:ST. LUKE'S HOSPICE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VICE PRESIDENT & CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEISCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-205-2305
Mailing Address - Street 1:232 SOUTH WOODS MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3417
Mailing Address - Country:US
Mailing Address - Phone:314-205-6707
Mailing Address - Fax:314-205-6457
Practice Address - Street 1:111 SOUTH WOODS MILL ROAD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3509
Practice Address - Country:US
Practice Address - Phone:314-205-6707
Practice Address - Fax:314-205-6457
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. LUKES EPISCOPAL-PRESBYTERIAN HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO261627Medicare Oscar/Certification