Provider Demographics
NPI:1598739948
Name:SAINT LUKES HOSPITAL OF GARNETT INC
Entity type:Organization
Organization Name:SAINT LUKES HOSPITAL OF GARNETT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-880-5277
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:785-448-2674
Mailing Address - Fax:785-448-3118
Practice Address - Street 1:536 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:GARNETT
Practice Address - State:KS
Practice Address - Zip Code:66032-1355
Practice Address - Country:US
Practice Address - Phone:785-448-2674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT LUKES OF GARNETT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-14
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH002001261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100294110CMedicaid
KS173438Medicare Oscar/Certification