Organization
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC
Active
Other names
Basehor Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(909) 235-4307
Entity
Organization
Contact information
Practice address
15604 PINEHURST DR STE 2, BASEHOR, KS 66007-8234
(913) 728-2200
Mailing address
15604 PINEHURST DR STE 2, BASEHOR, KS 66007-8234
(913) 728-2200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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