Active NPI
Munson Army Health Center
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Leavenworth, KS
National Provider Identifier
1912158445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- License
- 22525123
- Legal business name
- MUNSON ARMY HEALTH CENTER
- Practice address
- 550 Pope Ave
Fort Leavenworth, KS 66027-2332 - Phone
- (931) 684-6473
- NPI assigned
- Oct 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edith Cotton
- Title
- Credentials Manager
- Phone
- (913) 684-6562
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | 22525123 | PA | Primary |
Addresses
Primary practice location
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Mailing address
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone (931) 684-6473
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222905600000",
"number": "1912158445",
"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": "931-684-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 POPE AVE",
"city": "FORT LEAVENWORTH",
"state": "KS",
"postal_code": "660272332",
"telephone_number": "931-684-6473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUNSON ARMY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A",
"authorized_official_last_name": "COTTON",
"authorized_official_first_name": "EDITH",
"authorized_official_title_or_position": "CREDENTIALS MANAGER",
"authorized_official_telephone_number": "913-684-6562"
},
"taxonomies": [
{
"code": "261QM1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
"state": "PA",
"license": "22525123",
"primary": true
}
],
"identifiers": [],
"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 Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.