PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC (NPI# 1568705267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568705267 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC |
| Other Organization Name | SAINT JOHN HOSPITAL |
| Practice Address |
3500 S 4th St Leavenworth KS 66048-5043 |
| Practice Telephone | 9092354362 |
| Practice Fax Number | 9092354418 |
| Mailing Telephone | 9092354362 |
| Mailing Fax Number | 9092354418 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | MR. LUIS LEON (PRESIDENT OF OPERATIONS II) |
| Authorized Official Telephone | 9092354362 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | KS | Hospitals |
| Other Name | Type Code |
|---|---|
| Saint John Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609219799 | Prime Healthcare Services - Saint John Leavenworth, LLC | Medicare Defined Swing Bed Unit | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2013-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC | 3500 S 4th St, Leavenworth, KS 66048-5043 |
| Street Address |
3500 S 4TH ST |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619076 | Leo Joseph Spittler | Radiology | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2005-06-16 |
| 1336746148 | Kansas City Emergency Physicians LLC | Emergency Medicine | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2020-10-05 |
| 1508484973 | Annette Elizabeth Sanders | Registered Nurse | 3500 S 4th St, Leavenworth, KS 66048-5044 | 2020-07-11 |
| 1053784496 | Sheridan Emergency Physician Services of Kansas, P.a. | Emergency Medicine | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2015-11-06 |
| 1487026449 | Appaloosa Emergency Physicians, LLC | Physician Assistant | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2015-10-29 |
| 1609219799 | Prime Healthcare Services - Saint John Leavenworth, LLC | Medicare Defined Swing Bed Unit | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2013-04-09 |
| 1598108680 | Prime Healthcare Services - Saint John Leavenworth LLC | Psychiatric Unit | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2013-04-09 |
| 1912280744 | Wide Missouri Emergency Physicians LLC | Emergency Medicine | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2011-09-28 |
| 1093001596 | First City of Kansas Emergency Physicians | Emergency Medicine | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2011-06-22 |
| 1760624126 | Pierre W Keitges Md PC | Clinical Medical Laboratory | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2009-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366486797 | Saint Lukes Cushing Hospital Inc | General Acute Care Hospital | 711 Marshall St, Leavenworth, KS 66048-3235 | 2006-06-15 |
| 1417182619 | Gaston I. S. Diallo, Md, Pa | General Acute Care Hospital | 113 Delaware St, Suite E, Leavenworth, KS 66048-2822 | 2009-05-18 |
| 1831377191 | Department of Veterans Affairs | General Acute Care Hospital | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2008-02-08 |
| 1497704944 | Kansas City Vamc | General Acute Care Hospital | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-05-10 |
| 1295735397 | Saint John Hospital, Inc | General Acute Care Hospital | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921029 | Topeka Er Hospital LLC | General Acute Care Hospital | 6135 Sw 17th Street, Topeka, KS 66604 | 2020-01-14 |
| 1992341473 | Mercy Specialty Hospital Southeast Kansas | General Acute Care Hospital | 1619 K66, Galena, KS 66739-4306 | 2019-11-20 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1639624141 | Matthew Tyler Howard | General Acute Care Hospital | 2032 Sudler, Ku Med Center, Kansas City, KS 66160-0001 | 2016-08-25 |
| 1780137265 | Herington Municipal Hospital | General Acute Care Hospital | 100 E Helen, Herington, KS 67449-1697 | 2016-08-01 |
| 1396097317 | City of Galena-kansas | General Acute Care Hospital | 1619 K 66, Galena, KS 66739 | 2012-10-15 |
| 1871885491 | Robert J. Dole Va | General Acute Care Hospital | 613 E. Showalter, Rose Hill, KS 67133-9770 | 2011-05-16 |
| 1023334950 | Ascension Via Christi Hospital St Teresa Inc. | General Acute Care Hospital | 14800 W Saint Teresa St, Wichita, KS 67235-9602 | 2010-04-16 |
| Find all providers with the same taxonomy | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
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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.