Organization Active NPI

St. Luke's Hospital Inc.

  • Critical Access Hospital
  • Columbus, NC
National Provider Identifier
1245373455
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H0079 Issued in NC
Legal business name
ST. LUKE'S HOSPITAL INC.
Practice address
101 Hospital Dr
Columbus, NC 28722-6418
Phone
(828) 894-0820
Fax
(828) 894-5319
NPI assigned
Feb 15, 2007
Last updated
Mar 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth Arthur Shull
Title
Ceo
Phone
(828) 894-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H0079 NC Primary

Addresses

Primary practice location

101 Hospital Dr
Columbus, NC 28722-6418

Mailing address

101 Hospital Dr
Columbus, NC 28722-6418
Phone (828) 894-0820

Other identifiers 3

IdentifierTypeStateIssuer
00528OtherBLUE CROSS
121421MedicaidSC
3401322MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1245373455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287226418",
            "telephone_number": "828-894-0820",
            "fax_number": "828-894-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287226418",
            "telephone_number": "828-894-0820",
            "fax_number": "828-894-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-894-3311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NC",
            "license": "H0079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00528",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121421",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401322",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.