St Luke Hospital Inc

Organization Active NPI Pediatrics Physician · Bellevue, KY

NPI 1003923830 · NPPES record last updated Jul 25, 2008

Key facts

NPI
1003923830
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
ST LUKE HOSPITAL INC
Practice address
103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Phone
(859) 261-3700
Fax
(859) 261-9788
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

Name
Mr. James Sommerkamp
Title
Director Finance
Phone
(859) 572-3100

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
St Luke Hospitals Inc (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
208000000X Yes
Pediatric Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363LP0200X

Addresses

Primary practice location

103 Landmark Dr Ste 360
Bellevue, KY 41073-1354

Mailing address

103 Landmark Dr Ste 360
Bellevue, KY 41073-1354
Phone (859) 261-3700

Other identifiers

IdentifierTypeStateIssuer
65915621OtherKYMD GROUP KENPAC
78901709OtherKYNP GROUP KENPAC

Other names

  • ST LUKE PEDIATRIC CENTER Doing business as

Other providers in Bellevue, KY

All providers in Bellevue, KY · Pediatrics Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.