MUNSON ARMY HEALTH CENTER (NPI# 1457458200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457458200 |
| Entity Type | Organization |
| Organization Name | MUNSON ARMY HEALTH CENTER |
| Other Organization Name | LEAVENWORTH PHCY |
| Practice Address |
550 Pope Ave Fort Leavenworth KS 66027-2332 |
| Practice Telephone | 9136846064 |
| Practice Fax Number | 9136846065 |
| Mailing Telephone | 2102218274 |
| Mailing Fax Number | 2102952567 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2026869 | 01 |
| Other Name | Type Code |
|---|---|
| LEAVENWORTH PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902048937 | Munson Army Health Center | Clinic/Center | 156 S Melrose Ln, Tonganoxie, KS 66086-8939 | 2009-04-06 |
| 1285847731 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2007-05-08 |
| 1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
| 1992107627 | Munson Army Health Center | Clinic/Center | 550 Pope Ave, Bldg 343, Room 1a146, Fort Leavenworth, KS 66027-2332 | 2014-09-25 |
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| 1154641561 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Tmc #2, Fort Leavenworth, KS 66027-2364 | 2010-06-08 |
| 1912158445 | Munson Army Health Center | Clinic/Center | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2008-10-02 |
| 1316104433 | Munson Army Health Center | General Acute Care Hospital | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2008-05-16 |
| 1063617447 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2007-06-18 |
| 1356545057 | Munson Army Health Center | Clinic/Center | 520 Pope Ave, Building 57 Usadc, Fort Leavenworth, KS 66027-2332 | 2007-06-14 |
| Street Address |
550 POPE AVE |
| City | FORT LEAVENWORTH |
| State | KS |
| Zip Code | 66027-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449316 | Jerry Lee Green Jr. | Nurse Practitioner | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2005-07-06 |
| 1780283531 | Nicole Hazelton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-22 |
| 1437758687 | Drusilla Cox | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-20 |
| 1780216606 | Robin Michelle Collie | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-02-08 |
| 1285083162 | Courtney Spongberg | Physical Therapist | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2016-06-10 |
| 1992107627 | Munson Army Health Center | Clinic/Center | 550 Pope Ave, Bldg 343, Room 1a146, Fort Leavenworth, KS 66027-2332 | 2014-09-25 |
| 1609278118 | Denise Dennell Hinton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2014-09-16 |
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| 1588928758 | Susana Suyapa Guerrero | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-07-02 |
| 1194096271 | Jennifer Marlene Diggs | Licensed Practical Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801019 | Sarah M. Galloway | Counselor | 32 Pick Ave, Fort Leavenworth, KS 66027 | 2012-05-01 |
| 1659566750 | Dong S Lee | Dentist | Us Army Dental Health Activity, 520 Pope Avenue, Fort Leavenworth, KS 66027 | 2007-09-11 |
| 1942354998 | Shaun Lydell Kanion | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
| 1063594158 | Ellen Henley Galloway | Psychologist | 1301 North Warehouse Rd, Usdb-dtp, Ft Leavenworth, KS 66027 | 2006-10-19 |
| 1083666770 | Mary Shancy Francis | Family Medicine | Munson Army Health Center 550 Pope Ave, Leavenworth, KS 66027 | 2006-05-17 |
| 1053601724 | Forest Tu Pavel | Counselor | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027 | 2011-04-14 |
| 1629242797 | Willy Clarkson Cornett | Registered Nurse | 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, KS 66027 | 2008-04-18 |
| 1356495394 | Kevin Michael Madjarac | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1548468465 | Sara Anne Dame | Licensed Practical Nurse | 505 Pope, Ft. Leavenworth, KS 66027-0000 | 2007-07-03 |
| Find all providers in zip 66027 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932421658 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 2210 Trooper Drive, Ft Riley, KS 66442 | 2010-02-22 |
| 1023330743 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 8072 Normandy Drive, Ft Riley, KS 66442 | 2010-02-22 |
| 1841352580 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Building 600, Ft Riley, KS 66442 | 2006-12-15 |
| 1316046949 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 600, Caisson Hill Road, Ft Riley, KS 66442 | 2006-09-21 |
| 1265814842 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 623 Southwind Drive, Junction City, KS 66441 | 2015-06-19 |
| 1740696095 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2014-07-08 |
| 1639403090 | 22nd Medgp/sgsla | Military/U.S. Coast Guard Pharmacy | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2009-10-01 |
| 1679637334 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Building 600, Ft Riley, KS 66442 | 2006-12-20 |
| 1245339878 | Irwin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 650 Huebner Rd, Ft Riley, KS 66442 | 2006-09-21 |
| City | FORT LEAVENWORTH |
| Zip Code | 66027 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.