AHC MUNSON-LEAVENWORTH – NPI #1366518433
Clinic/Center

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

AHC MUNSON-LEAVENWORTH is an AHC clinic located in FORT LEAVENWORTH, KS. NPPES has assigned the NPI number 1366518433 to AHC MUNSON-LEAVENWORTH on November 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was last updated on May 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AHC MUNSON-LEAVENWORTH below.

NPI Profile for
AHC MUNSON-LEAVENWORTH

NPI Number
1366518433
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AHC MUNSON-LEAVENWORTH
Primary location
MUNSON ARMY HEALTH CENTER
550 POPE AVENUE
FORT LEAVENWORTH, KS 66027
Phone: (913) 684-6000 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - AHC MUNSON-LEAVENWORTH is subpart of another organization.
Authorized Official
TONNESHA JEFFERSON
UBO MANAGER
Phone: (913) 684-6048
Updated
Certification Date
May 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AHC MUNSON-LEAVENWORTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS KS0547
otherBCBS KS883512
otherMEDCO IDAN2598588
otherNCPDP17-17125
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.