| Organization Name: | ST LUKE HOSPITAL INC |
| NPI Number: | 1003923830 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES SOMMERKAMP (DIRECTOR FINANCE) |
| Mailing Address: | 103 Landmark Dr Ste 360 Bellevue |
| State: | KY US |
| Postal Code: | 410731354 |
| Phone Number: | 8592613700 |
| Fax Number: | 8592619788 |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 07/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |