Organization
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC
Active
Organization
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC
Active
Other names
Saint John Leavenworth TCU Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS LEON (PRESIDENT OF OPERATIONS II)
(909) 235-4362
Entity
Organization
Contact information
Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(909) 235-4400
(909) 235-4418
Mailing address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(909) 235-4400
(909) 235-4418
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
KS
Other
Enumeration date
04/09/2013
Last updated
07/25/2013
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