NPIMap

Organization Active NPI

Saint Lukes Northland Hospital Corporation

  • Physical Medicine & Rehabilitation Physician
  • Leavenworth, KS
National Provider Identifier
1649462847
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SAINT LUKES NORTHLAND HOSPITAL CORPORATION
Practice address
711 Marshall St
Leavenworth, KS 66048-3235
Phone
(913) 684-1100
NPI assigned
Aug 13, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKES NORTHLAND HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
N Gary Wages
Title
President and Ceo
Phone
(816) 880-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

711 Marshall St
Leavenworth, KS 66048-3235

Mailing address

PO Box 930945
Kansas City, MO 64193-0945
Phone (913) 684-1100

National Provider Directory

National Provider Directory
Tax ID family
Saint Luke's Northland Hospital Corporation9 organizations share this tax ID, including this one
Part of
Saint Luke's Northland Hospital Corporation

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1649462847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930945",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641930945",
            "telephone_number": "913-684-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MARSHALL ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483235",
            "telephone_number": "913-684-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES NORTHLAND HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKES NORTHLAND HOSPITAL CORPORATION",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "WAGES",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "816-880-6500"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.