SAINT LUKES RADIATION THERAPY-LIBERTY LLC NPI 1912381005

NPI Information

NPI: 1912381005
Provider Name: SAINT LUKES RADIATION THERAPY-LIBERTY LLC
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
2529 GLENN HENDREN DR
SUITE G40
LIBERTY, MO
ZIP 64068
Phone: (816) 251-5630
Get Directions

SAINT LUKES RADIATION THERAPY-LIBERTY LLC is an oncology and radiation clinic center in Liberty, MO. SAINT LUKES RADIATION THERAPY-LIBERTY LLC NPI is 1912381005. The provider is registered as an organization entity type.

The provider's business location address is:

2529 GLENN HENDREN DR
SUITE G40
LIBERTY, MO
ZIP 64068-606
Phone: (816) 251-5630

The provider's authorized official is Amy M Nachtigal .
The authorized official title is Cfo and has the following contact phone number (816) 932-2000.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 8/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0203X	Clinic/Center	Oncology, Radiation	4885	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01685370	OTHER	MISSOURI	RAILROAD MEDICARE
2	MA6154	MEDICARE OSCAR/CERTIFICATION	MISSOURI
3	1912381005	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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