NPIMap

Organization Active NPI

Saint Lukes Hospital of Trenton

  • Family Medicine Physician
  • Trenton, MO
National Provider Identifier
1992024103
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAINT LUKES HOSPITAL OF TRENTON
Practice address
902 Custer St
Trenton, MO 64683-2238
Phone
(660) 359-5621
Fax
(660) 359-4978
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Les Reed
Title
Cfo
Phone
(660) 359-5621

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MO Primary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X MO

Addresses

Primary practice location

902 Custer St
Trenton, MO 64683-2238

Mailing address

701 E 1St St
Trenton, MO 64683-2402
Phone (660) 359-5621

Other names 1

  • WRIGHT MEMORIAL CUSTER CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wright Memorial Hosp Crna7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1992024103",
    "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": "660-359-5621",
            "fax_number": "660-359-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CUSTER ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832238",
            "telephone_number": "660-359-5621",
            "fax_number": "660-359-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES HOSPITAL OF TRENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-359-5621"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WRIGHT MEMORIAL CUSTER CLINIC",
            "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 May 27, 2010; 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.