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Organization
AHC MUNSON-LEAVENWORTH
Active
Organization
AHC MUNSON-LEAVENWORTH
Active
Parent organization
AHC MUNSON-LEAVENWORTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHC MUNSON-LEAVENWORTH
Authorized official
TONNESHA JEFFERSON (UBO MANAGER)
(913) 684-6048
Entity
Organization
Contact information
Practice address
MUNSON ARMY HEALTH CENTER, 550 POPE AVENUE, FORT LEAVENWORTH, KS 66027
(913) 684-6000
Mailing address
MUNSON ARMY HEALTH CENTER, 550 POPE AVENUE, FORT LEAVENWORTH, KS 66027
(913) 684-6048
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0547
BCBS KS
—
01
—
17-17125
NCPDP
—
01
—
883512
BCBS KS
—
01
—
AN2598588
MEDCO ID
—
Enumeration date
11/28/2006
Last updated
05/21/2025
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