Active NPI
St. Luke's Hospital
- Rehabilitation Hospital Unit
- Maumee, OH
National Provider Identifier
1124051974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 7648602
- Legal business name
- ST. LUKE'S HOSPITAL
- Practice address
- 5901 Monclova Rd
Maumee, OH 43537-1841 - Phone
- (419) 893-5915
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David M. Oppenlander
- Title
- Cfo
- Phone
- (419) 893-5915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 7648602 | OH | Primary |
Addresses
Primary practice location
5901 Monclova Rd
Maumee, OH 43537-1841
Mailing address
5901 Monclova Rd
Maumee, OH 43537-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 360090
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MCLAREN ST LUKE'S
- Certification status
- Terminated Voluntary: merger or closure, May 9, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jul 31, 1990
- Beds
- 215
- Ownership / control type
- Other
- Facility address
- 5901 Monclova Road
Maumee, OH 43537
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124051974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 MONCLOVA RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 MONCLOVA RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435371841",
"telephone_number": "419-893-5915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKE'S HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OPPENLANDER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "419-893-5915",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "OH",
"license": "7648602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
- Special Medical LLP
- Nicole M Spellis-Freyre, RN
- Jacob Thomas Spellis, MSW, LSW
- St. Luke Hospital (Occupational Health Services)
- St. Luke's Hospital
- St. Luke's Hospital (SLH/UT Family Medicine Residency Program)
- St. Lukes Hospital
- St. Marks's Therapy Center
- Nicholas Richard St.John
- Christine Susanne Stahle, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.