| Prime Healthcare Services - Saint John Leavenworth, Llc | |
|
3550 S 4th St Leavenworth KS 66048-5071 | |
| (913) 680-6442 | |
| Not Available |
| Full Name | Prime Healthcare Services - Saint John Leavenworth, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3550 S 4th St, Leavenworth, Kansas |
| Authorized Official Name and Position | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Services - Saint John Leavenworth, Llc 3550 S 4th St Leavenworth KS 66048-5071 Ph: (913) 680-6442 | Prime Healthcare Services - Saint John Leavenworth, Llc 3550 S 4th St Leavenworth KS 66048-5071 Ph: (913) 680-6442 |
| NPI Number | 1972389344 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972389344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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