NPIMap

Organization Active NPI

Munson Army Health Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Leavenworth, KS
National Provider Identifier
1992107627
Registry record updated Sep 25, 2014
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
Practice address
550 Pope Ave
BLDG 343, Room 1A146
Fort Leavenworth, KS 66027-2332
Phone
(913) 684-6054
NPI assigned
Sep 25, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Dr. Aparna Barbara Raizada, PHARM.D.
Title
Chief, Pharmacy Services
Phone
(913) 684-6054

Specialties & licenses 1

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

Addresses

Primary practice location

550 Pope Ave
BLDG 343, Room 1A146
Fort Leavenworth, KS 66027-2332

Mailing address

550 Pope Ave
BLDG 343, Room 1A146
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6054

Other identifiers 1

IdentifierTypeStateIssuer
W2P4AAOtherTXUS ARMY MEDICAL COMMAND UIC

Other names 1

  • MAHC Other name

National Provider Directory

National Provider Directory
Tax ID family
US Army42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

550 Pope Ave
Bldg 343
Fort Leavenworth, KS 66027
Phone (913) 684-6054

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1992107627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "BLDG 343, ROOM 1A146",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "BLDG 343, ROOM 1A146",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON ARMY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "RAIZADA",
        "authorized_official_first_name": "APARNA",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF, PHARMACY SERVICES",
        "authorized_official_telephone_number": "913-684-6054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US ARMY MEDICAL COMMAND UIC",
            "identifier": "W2P4AA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 25, 2014; 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.