PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC (NPI# 1609219799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609219799 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH, LLC |
| Other Organization Name | SAINT JOHN LEAVENWORTH TCU UNIT |
| Practice Address |
3500 S 4th St Leavenworth KS 66048-5043 |
| Practice Telephone | 9092354400 |
| Practice Fax Number | 9092354418 |
| Mailing Telephone | 9092354400 |
| Mailing Fax Number | 9092354418 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | MR. LUIS LEON (PRESIDENT OF OPERATIONS II) |
| Authorized Official Telephone | 9092354362 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | KS | Hospital Units |
| Other Name | Type Code |
|---|---|
| Saint John Leavenworth TCU Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568705267 | Prime Healthcare Services - Saint John Leavenworth, LLC | General Acute Care Hospital | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2013-04-01 |
| 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 |
| 1598108680 | Prime Healthcare Services - Saint John Leavenworth LLC | Psychiatric Unit | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2013-04-09 |
| 1568705267 | Prime Healthcare Services - Saint John Leavenworth, LLC | General Acute Care Hospital | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2013-04-01 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720096597 | Saint John Hospital, Inc | Medicare Defined Swing Bed Unit | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2006-08-04 |
| 1528050309 | Chelan County Public Hospital District No. 1 | Medicare Defined Swing Bed Unit | 817 Commercial St, Leavenworth, WA 98826-1316 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801976857 | Meade Hospital District | Medicare Defined Swing Bed Unit | 510 East Carthage, Meade, KS 67864-0820 | 2006-10-16 |
| 1487749602 | Great Plains of Ellinwood, Inc. | Medicare Defined Swing Bed Unit | 605 North Main, Ellinwood, KS 67526 | 2006-10-04 |
| 1952495939 | Citizens Medical Center, Inc | Medicare Defined Swing Bed Unit | 100 East College Drive, Colby, KS 67701-3799 | 2006-10-03 |
| 1235231697 | Hamilton County Hospital | Medicare Defined Swing Bed Unit | 700 N. Huser, Syracuse, KS 67878-0948 | 2006-09-05 |
| 1346342771 | Mcpherson Hospital, Inc. | Medicare Defined Swing Bed Unit | 1000 Hospital Drive, Mcpherson, KS 67460 | 2006-09-05 |
| 1285640912 | Mercy Hospital Inc | Medicare Defined Swing Bed Unit | 218 E. Pack Street, Moundridge, KS 67107-0180 | 2006-08-01 |
| 1063489219 | Stevens County Hospital | Medicare Defined Swing Bed Unit | 1006 Jackson Street, Hugoton, KS 67951 | 2006-03-07 |
| 1659348589 | Community Memorial Healthcare, Inc. | Medicare Defined Swing Bed Unit | 708 N 18th St, Marysville, KS 66508-1338 | 2006-02-28 |
| 1316937428 | Wichita County Health Center | Medicare Defined Swing Bed Unit | 211 East Earl, Leoti, KS 67861-9802 | 2005-10-28 |
| 1679572721 | Ascension Via Christi Hospital Manhattan, Inc. | Medicare Defined Swing Bed Unit | 1823 College Ave., Manhattan, KS 66502-3381 | 2005-07-20 |
| 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.