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Organization

AHC MUNSON-LEAVENWORTH

Active
Parent organization
AHC MUNSON-LEAVENWORTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
AHC MUNSON-LEAVENWORTH
Authorized official
TONNESHA JEFFERSON (UBO MANAGER)
(913) 684-6048
Entity
Organization

Contact information

Practice address
MUNSON ARMY HEALTH CENTER, 550 POPE AVENUE, FORT LEAVENWORTH, KS 66027
(913) 684-6000
Mailing address
MUNSON ARMY HEALTH CENTER, 550 POPE AVENUE, FORT LEAVENWORTH, KS 66027
(913) 684-6048

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0547
BCBS KS
01
17-17125
NCPDP
01
883512
BCBS KS
01
AN2598588
MEDCO ID
Enumeration date
11/28/2006
Last updated
05/21/2025
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