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Organization
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
Active
Organization
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
Active
Parent organization
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
Authorized official
DAVID DULNY (PROVIDENCE CFO)
(913) 596-4835
Entity
Organization
Contact information
Practice address
3550 S 4TH ST STE 100, LEAVENWORTH, KS 66048-5061
(913) 680-6200
(913) 680-6348
Mailing address
1000 CARONDELET DR, PHYSICIAN BILLING OFFICE, KANSAS CITY, MO 64114
(816) 943-2283
(816) 943-5762
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
08/25/2025
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