Organization Active NPI

Saint Luke's Hospital of Trenton

Doing business as Wright Memorial Hospital

  • Home Health Agency
  • Trenton, MO
National Provider Identifier
1467436683
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAINT LUKE'S HOSPITAL OF TRENTON
Doing business as
Wright Memorial Hospital
Practice address
605 E 9TH St
Trenton, MO 64683-2210
Phone
(660) 359-5621
NPI assigned
Dec 1, 2005
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKE'S HOSPITAL OF TRENTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Gary W Jordan
Title
Ceo
Phone
(660) 359-5621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

605 E 9TH St
Trenton, MO 64683-2210

Mailing address

701 E 1St St
Trenton, MO 64683-2402
Phone (660) 359-6331

Other identifiers 1

IdentifierTypeStateIssuer
580492205MedicaidMO

Other names 1

  • Wright Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Wright Memorial Hosp Crna

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

701 E 1st St
Trenton, MO 64683
Phone (660) 359-5621

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1467436683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 1ST ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832402",
            "telephone_number": "660-359-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 9TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832210",
            "telephone_number": "660-359-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKE'S HOSPITAL OF TRENTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKE'S HOSPITAL OF TRENTON",
        "enumeration_date": "2005-12-01",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-359-5621"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580492205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.