Prime Healthcare Services - Saint John Leavenworth, LLC

NPI #1609652072 in Basehor, Kansas

Provider Information

NPI Number
1609652072
Entity Type
Organization
Organization Name
Prime Healthcare Services - Saint John Leavenworth, LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Sep 1, 2023
Last Updated
Sep 1, 2023

Practice Location

Address
15604 PINEHURST DR STE 2
State
Kansas
ZIP Code
66007-8234
Phone
(913) 728-2200

Authorized Official

Name
CHRISTOPHER DOAN
Title
MANAGING ASSOCIATE GENERAL COUNSEL
Phone
(909) 235-4307

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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