Organization
MUNSON ARMY COMMUNITY HOSPITAL
Active
Parent organization
MEDDAC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDDAC
Authorized official
EDITH L COTTON (CREDENTIALS MANAGER)
(913) 684-6143
Entity
Organization
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6143
(913) 684-6208
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
28080967A
IN
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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