NPIMap

Organization Active NPI

Usp Leavenworth

  • Health Service Clinic/Center
  • Leavenworth, KS
National Provider Identifier
1578907879
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
USP LEAVENWORTH
Practice address
1300 Metropolitan Ave
Leavenworth, KS 66048-1254
Phone
(913) 682-8700
NPI assigned
Apr 18, 2013
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Justin Blevins
Title
Health Services Administrator
Phone
(913) 682-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

1300 Metropolitan Ave
Leavenworth, KS 66048-1254

Mailing address

1300 Metropolitan Ave
Leavenworth, KS 66048-1254
Phone (913) 682-8700

National Provider Directory

National Provider Directory
Tax ID family
Federal Transfer Center Oklahoma City49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Locations

1300 Metropolitan Ave
Leavenworth, KS 66048
Phone (913) 682-8700

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1578907879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 METROPOLITAN AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481254",
            "telephone_number": "913-682-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 METROPOLITAN AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481254",
            "telephone_number": "913-682-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USP LEAVENWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "HEALTH SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "913-682-8700"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.