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Organization Active NPI

Saint Lukes Hospital of Chillicothe

  • Critical Access Hospital
  • Chillicothe, MO
National Provider Identifier
1912948308
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
442-9 Issued in MO
Legal business name
SAINT LUKES HOSPITAL OF CHILLICOTHE
Practice address
2799 N Washington
Chillicothe, MO 64601-2902
Phone
(660) 646-1480
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Erin Parde
Title
Cfo
Phone
(816) 880-5277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 442-9 MO Primary

Addresses

Primary practice location

2799 N Washington
Chillicothe, MO 64601-2902

Mailing address

2799 N Washington
Chillicothe, MO 64601-2902
Phone (660) 646-1480

Other identifiers 1

IdentifierTypeStateIssuer
010570208MedicaidMO

Other names 1

  • Hedrick Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030617000035 MO Part A Provider - Critical Access Hospital 0143130393 Receives reassigned benefits from 79 practitioners
Practice locations: Chillicothe, MO

Hospital certification: CCN 261321

Legal name
SAINT LUKES HOSPITAL OF CHILLICOTHE
Doing business as
HEDRICK MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2005
Last certification
Dec 16, 2015
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
2799 N Washington St
Chillicothe, MO 64601-2902
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Hedrick Medical CenterCCN 261321
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Grand River Health System Corporation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patrick Altenhofen Individual Corporate DirectorBoard Member Jan 1, 2018
Terry a Plaster Individual Corporate OfficerAssistant Secretary Jan 1, 2026
Jennifer Lovell Individual Corporate DirectorBoard Member Jan 1, 2018
Darren Bass Individual Corporate OfficerPresident Sep 1, 2023
Corporate DirectorPresident Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
Operational/Managerial ControlPresident Sep 1, 2023
Saint Lukes Health System Inc Organization, Kansas City, MO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2003 100%
Operational/Managerial Control Aug 1, 2003 100%
Damara L Harper Individual Corporate OfficerVice President Jan 1, 2026
Operational/Managerial ControlVice President Jan 1, 2026
BJC Health System Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Donald Metry Individual Corporate DirectorBoard Member Oct 20, 2004
Carol Sloan Individual Corporate DirectorBoard Member Oct 1, 2011
Scott Hawig Individual Corporate OfficerVice President, Finance Jan 1, 2026
Operational/Managerial ControlVice President, Finance Jan 1, 2026
John Marcolla Individual Corporate DirectorBoard Member Jan 1, 2018
Scott Cady Individual Corporate DirectorBoard Member Jan 1, 2018
Matthew J Hendrix Individual Corporate DirectorBoard Member Jan 1, 2025
Krista M Clark Individual Corporate DirectorBoard Member Jan 1, 2023
Catherine Hamilton Individual W-2 Managing EmployeeAdministrator Sep 1, 2023
Operational/Managerial ControlAdministrator Sep 1, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 87

Affiliated clinicians 268

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 268

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1912948308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 N WASHINGTON",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012902",
            "telephone_number": "660-646-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 N WASHINGTON",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012902",
            "telephone_number": "660-646-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES HOSPITAL OF CHILLICOTHE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "PARDE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-880-5277"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "442-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010570208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hedrick Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hedrick Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

Verify at the official NPI Registry.