PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC NPI 1609219799

NPI Information

PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC is a medicare defined swing bed unit in Leavenworth, KS. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC NPI is 1609219799. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint John Leavenworth Tcu Unit.

The provider's business location address is:

3500 S 4TH ST
LEAVENWORTH, KS
ZIP 66048-043
Phone: (909) 235-4400
Fax: (909) 235-4418

The provider's authorized official is Luis Leon .
The authorized official title is President Of Operations Ii and has the following contact phone number (909) 235-4362.

The enumeration date for this NPI number is 4/9/2013 and was last updated on 7/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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