Prime Healthcare Services - Leavenworth Surgery Center, LLC

NPI #1124489083 in Leavenworth, Kansas

Provider Information

NPI Number
1124489083
Entity Type
Organization
Organization Name
Prime Healthcare Services - Leavenworth Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 18, 2016
Last Updated
Mar 18, 2016

Practice Location

Address
3550 S 4TH ST
Address 2
SUITE G1
State
Kansas
ZIP Code
66048-5071
Phone
(913) 680-6400

Authorized Official

Name
RANDALL G NYP
Title
CHIEF EXECUTIVE OFFICER
Phone
(913) 596-3930

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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