NPIMap

Organization Active NPI

Saint Luke's Hospital of Trenton

Doing business as Saint Luke's Mercer County Clinic

  • Rural Health Clinic/Center
  • Princeton, MO
National Provider Identifier
1962877514
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAINT LUKE'S HOSPITAL OF TRENTON
Doing business as
Saint Luke's Mercer County Clinic
Practice address
400 N Fullerton St
Princeton, MO 64673-1418
Phone
(660) 748-4042
NPI assigned
Dec 8, 2015
Last updated
Dec 17, 2025By 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 Dec 17, 2025

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

Authorized official

Name
Damara Harper
Title
Vice President
Phone
(816) 599-9263

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

400 N Fullerton St
Princeton, MO 64673-1418

Mailing address

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5700

Other names 1

  • Saint Luke's Mercer County Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040327000339 MO Part B Supplier - Clinic/Group Practice 3971495532 Receives reassigned benefits from 159 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Princeton, MO; Trenton, MO
O20160301000374 MO Part A Provider - Rural Health Clinic 3971495532 Practice locations: Princeton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962877514. Details of each certification follow.

Rural health clinic certification: CCN 268713

Legal name
SAINT LUKE'S HOSPITAL OF TRENTON
Doing business as
SAINT LUKE'S MERCER COUNTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 29, 2014
Last certification
Feb 1, 2021
Ownership / control type
2B
Most recent change of ownership
Jan 1, 2016 (2 total)
Organization structure
CorporationNon-profit
Enrollment address
400 N Fullerton St
Princeton, MO 64673-1418
Related CCNs
261309

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).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0883404Saint Lukes Mercer County Clinic400 North Fullerton Street, Princeton, MO 64673Certificate of waiverJul 5, 2027

National Provider Directory

National Provider Directory
Part of
Wright Memorial Hospita

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Ryan C Vandel Individual Corporate DirectorBoard Member Jan 1, 2026
Darren Bass Individual Corporate Officer Sep 1, 2023
Corporate Director Jan 1, 2026
W-2 Managing Employee Jan 1, 2026
Operational/Managerial ControlPresident Sep 1, 2023
Lindsey Stringer Individual Corporate DirectorBoard Member Jan 1, 2023
Lenny R Klaver Individual Corporate DirectorBoard Member Jan 1, 2019
Dianne K Oder Individual Corporate DirectorBoard Member Jan 1, 2019
Saint Lukes Health System Inc Organization, Kansas City, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2015
Saint Luke's Hospital of Trenton Organization, Trenton, MO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2015 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%
Scott Hawig Individual Corporate OfficerVice President, Finance Jan 1, 2026
Operational/Managerial ControlVice President, Finance Jan 1, 2026
Kasey M Bailey Individual Corporate DirectorBoard Member Jan 1, 2024
Jonathan C Lamp Individual Corporate DirectorBoard Member Jan 1, 2026
Jill Pfaff 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

Practitioners & affiliated clinicians

Practitioners 150

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 150

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1962877514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 IOWA BLVD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646838343",
            "telephone_number": "660-358-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N FULLERTON ST",
            "city": "PRINCETON",
            "state": "MO",
            "postal_code": "646731418",
            "telephone_number": "660-748-4042"
        }
    ],
    "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": "2015-12-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "DAMARA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-599-9263"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 N Fullerton St",
            "city": "Princeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "646731418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Saint Luke's Mercer County Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Luke's Mercer County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, MO

Sources for this page

Verify at the official NPI Registry.