Organization
USP LEAVENWORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BLEVINS (HEALTH SERVICES ADMINISTRATOR)
(913) 682-8700
Entity
Organization
Contact information
Practice address
1300 METROPOLITAN AVE, LEAVENWORTH, KS 66048-1254
(913) 682-8700
Mailing address
1300 METROPOLITAN AVE, LEAVENWORTH, KS 66048-1254
(913) 682-8700
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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