| Dwight D. Eisenhower Va Medical Center | |
|
4101 S 4th St Main Hospital, A2, Room A629 Leavenworth KS 66048-5014 | |
| (913) 682-2000 | |
| (913) 758-4277 |
| Full Name | Dwight D. Eisenhower Va Medical Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4101 S 4th St, Leavenworth, Kansas |
| Authorized Official Name and Position | Melinda Ann Gaddy (PSYCHOLOGIST) |
| Authorized Official Contact | 9136822000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight D. Eisenhower Va Medical Center 4101 S 4th St Main Hospital, A2, Room A629 Leavenworth KS 66048-5014 Ph: (913) 682-2000 | Dwight D. Eisenhower Va Medical Center 4101 S 4th St Main Hospital, A2, Room A629 Leavenworth KS 66048-5014 Ph: (913) 682-2000 |
| NPI Number | 1083015267 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 09/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083015267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2244 (Kansas) | Primary |
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