Organization
SAINT JOHN HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PAQUETTE (CHIEF EXECUTIVE OFFICER)
(913) 596-4882
Entity
Organization
Contact information
Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6000
Mailing address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H052002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000021
BLUE CROSS OF KANSAS
KS
01
—
325940
FIRST GUARD
KS
01
—
90090017
BLUE CROSS OF KANSAS CITY
KS
01
—
AETNA
519424
KS
Enumeration date
07/29/2005
Last updated
08/22/2020
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