Organization
ST. JOHN HOSPITAL HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SMART (DIRECTOR)
(913) 680-6300
Entity
Organization
Contact information
Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6300
(913) 680-6309
Mailing address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6300
(913) 680-6309
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A-052-003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000686
BLUE CROSS/BLUE SHIELD
KS
01
—
90250011
BLUE CROSS/BLUE SHIELD
MO
Enumeration date
11/09/2005
Last updated
08/22/2020
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