# COUNTY OF LEAVENWORTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Leavenworth County EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972606580
- **Authorized official:** MR. JAMIE A MILLER MICT (DIRECTOR)
- **Authorized official phone:** (913) 250-8000

## Contact information

- **Practice address:** 500 EISENHOWER RD STE 103, LEAVENWORTH, KS 66048-5161
- **Practice address phone:** (913) 250-8000
- **Practice address fax:** (913) 250-0063
- **Mailing address:** 500 EISENHOWER RD STE 103, LEAVENWORTH, KS 66048-5161
- **Mailing address phone:** (913) 250-8000
- **Mailing address fax:** (913) 250-0063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1010 | KS | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 035970 | FIRST GAURD MEDICAID HMO | MO |
| 05 | — | 100091480C | — | KS |
| 05 | — | 10523977 | — | NY |
| 01 | — | 144275700 | KANSAS DEPT OF LABOR | — |
| 05 | — | 200085760A | — | OK |
| 01 | — | 20842016 | BCBS OF KANSAS CITY | — |
| 01 | — | 291732 | CAPITOL BCBS | — |
| 01 | — | 590077899 | RAILROAD MEDICARE PGBA | — |
| 05 | — | 800465007 | — | MO |