Organization
SAINT JOHN HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MADSEN II (VP, ADMINISTRATOR)
(913) 680-6014
Entity
Organization
Contact information
Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6000
Mailing address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6000
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H052002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000021
BLUE CROSS KS
KS
01
—
325940
FIRST GUARD
KS
01
—
519424
AETNA
KS
01
—
90090017
BLUE CROSS OF KC
MO
Enumeration date
08/04/2006
Last updated
08/22/2020
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