| Saint John Hospital, Inc | |
|
3500 S 4th St Leavenworth KS 66048-5043 | |
| (913) 680-6000 | |
| Not Available |
| Full Name | Saint John Hospital, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3500 S 4th St, Leavenworth, Kansas |
| Authorized Official Name and Position | Greg Madsen (VP, ADMINISTRATOR) |
| Authorized Official Contact | 9136806014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint John Hospital, Inc 3500 S 4th St Leavenworth KS 66048-5043 Ph: (913) 680-6000 | Saint John Hospital, Inc 3500 S 4th St Leavenworth KS 66048-5043 Ph: (913) 680-6000 |
| NPI Number | 1639187404 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639187404 | NPI | - | NPPES |
| 519424 | Other | KS | AETNA |
| 90090017 | Other | MO | BLUE CROSS KC |
| 000021 | Other | KS | BLUE CROSS KS |
| 325940 | Other | KS | FIRST GUARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H052002 (Kansas) | Primary |
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