NPIMap

Organization Active NPI

Ahc Munson-Leavenworth

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Leavenworth, KS
National Provider Identifier
1366518433
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
AHC MUNSON-LEAVENWORTH
Practice address
Munson Army Health Center
550 Pope Avenue
Fort Leavenworth, KS 66027
Phone
(913) 684-6000
NPI assigned
Nov 28, 2006
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AHC MUNSON-LEAVENWORTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Tonnesha Jefferson
Title
Ubo Manager
Phone
(913) 684-6048

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X NU

Addresses

Primary practice location

Munson Army Health Center
550 Pope Avenue
Fort Leavenworth, KS 66027

Mailing address

Munson Army Health Center
550 Pope Avenue
Fort Leavenworth, KS 66027
Phone (913) 684-6048

Other identifiers 4

IdentifierTypeStateIssuer
0547OtherBCBS KS
17-17125OtherNCPDP
AN2598588OtherMEDCO ID
883512OtherBCBS KS

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1366518433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MUNSON ARMY HEALTH CENTER",
            "address_2": "550 POPE AVENUE",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "66027",
            "telephone_number": "913-684-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNSON ARMY HEALTH CENTER",
            "address_2": "550 POPE AVENUE",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "66027",
            "telephone_number": "913-684-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC MUNSON-LEAVENWORTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHC MUNSON-LEAVENWORTH",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "TONNESHA",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "913-684-6048"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "0547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "17-17125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO ID",
            "identifier": "AN2598588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "883512",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2025; 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.