Saint Lukes Hospital of Trenton

NPI #1831202431 in Jamesport, Missouri

Provider Information

NPI Number: 1831202431
Entity Type: Organization
Organization Name: Saint Lukes Hospital of Trenton
Subpart: Yes (part of a larger organization)
Parent Organization: SAINT LUKES HOSPITAL OF TRENTON
Primary Specialty: General Practice
Enumeration Date: Aug 16, 2006
Last Updated: May 14, 2014

Practice Location

Address: 301 W 2ND ST
City: Jamesport
State: Missouri
ZIP Code: 64648-8208
Phone: (660) 684-6244

Authorized Official

Name: GARY W JORDAN
Title: CEO
Phone: (660) 358-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
General Practice	208D00000X	Primary

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