Prime Healthcare Services - Saint John Leavenworth, LLC
NPI #1609219799 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1609219799
- Entity Type
- Organization
- Organization Name
- Prime Healthcare Services - Saint John Leavenworth, LLC
- Primary Specialty
- Medicare Defined Swing Bed Unit
- Enumeration Date
- Apr 9, 2013
- Last Updated
- Jul 25, 2013
Practice Location
- Address
- 3500 S 4TH ST
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-5043
- Phone
- (909) 235-4400
Authorized Official
- Name
- MR. LUIS LEON
- Title
- PRESIDENT OF OPERATIONS II
- Phone
- (909) 235-4362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medicare Defined Swing Bed Unit |
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