Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC
Active OrganizationPRIME HEALTHCARE PHYSICIAN SERVICES - PROVIDENCE INC is a General Practice organization located in LEAVENWORTH, Kansas. NPI 1972119741 is currently active in the NPPES registry. Verify at CMS.
General Practice · LEAVENWORTH, KS
Registration Details
- NPI Number
- 1972119741
- Provider Type
- Organization
- NPI Issued
- Sep 17, 2020 (5.9181673976743 yrs)
- Last Updated
- Aug 25, 2025
Practice Information
- Address
-
3550 S 4TH ST STE 100LEAVENWORTH, KS, 660485061Browse KS providers · Browse ZIP 66048
- Phone
- 9136806200
- Fax
- 9136806348
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.