# MUNSON ARMY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912158445
- **Authorized official:** EDITH COTTON (CREDENTIALS MANAGER)
- **Authorized official phone:** (913) 684-6562

## Contact information

- **Practice address:** 550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
- **Practice address phone:** (931) 684-6473
- **Mailing address:** 550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
- **Mailing address phone:** (931) 684-6473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | 22525123 | PA | Yes |

## Other

- **Enumeration date:** 10/02/2008
- **Last updated:** 10/02/2008