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Organization
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC
Active
Organization
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC
Active
Other names
Leavenworth Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
3550 S 4TH ST, LEAVENWORTH, KS 66048-5071
(913) 680-6442
Mailing address
3550 S 4TH ST, LEAVENWORTH, KS 66048-5071
(913) 680-6442
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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