Organization
MUNSON ARMY HEALTH CENTER
Active
Parent organization
MUNSON ARMY HEALTH CENTER
Other names
TMC #2 (USDB 2)-FT LEAVENWORTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON ARMY HEALTH CENTER
Authorized official
JIMMIE PERKINS (C, RM)
(913) 684-6726
Entity
Organization
Contact information
Practice address
1301 N WAREHOUSE RD, TMC #2, FORT LEAVENWORTH, KS 66027-2364
(913) 684-6000
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6048
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366518433
PARENT FACILITY NPI 2
—
Enumeration date
06/08/2010
Last updated
12/14/2012
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