NPIMap

Organization Active NPI

Munson Army Health Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Leavenworth, KS
National Provider Identifier
1356545057
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
MUNSON ARMY HEALTH CENTER
Doing business as
USADC FT. LEAVENWORTH SMITH
Practice address
520 Pope Ave
Building 57 Usadc
Fort Leavenworth, KS 66027-2332
Phone
(913) 684-6000
NPI assigned
Jun 14, 2007
Organization subpart
Yes
Parent organization
MUNSON ARMY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jimmie Perkins
Title
C, RM
Phone
(913) 684-6726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

520 Pope Ave
Building 57 Usadc
Fort Leavenworth, KS 66027-2332

Mailing address

550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6048

Other names 1

  • USADC FT. LEAVENWORTH SMITH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Munson Army Health Center7 organizations share this tax ID, including this one
Part of
Munson Army Health Center

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

520 Pope Ave
Bldg 57
Fort Leavenworth, KS 66027
Phone (913) 684-6000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1356545057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 POPE AVE",
            "address_2": "BUILDING 57 USADC",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON ARMY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSON ARMY HEALTH CENTER",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "C, RM",
        "authorized_official_telephone_number": "913-684-6726"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USADC FT. LEAVENWORTH SMITH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.