PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC – NPI #1912875600
Clinic/Center

PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC is an AHC clinic located in LEAVENWORTH, KS. NPPES has assigned the NPI number 1912875600 to PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC on October 25, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

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 PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC below.

NPI Profile for
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC

NPI Number
1912875600
Enumeration Date

(about 8 months 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
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC
Primary location
3550 S 4TH ST STE 200
LEAVENWORTH, KS 66048-5009
Phone: (913) 680-6442 Fax: (913) 680-6425
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTOPHER DOAN
MANAGING ASSOCIATE GENERAL COUNSEL
Phone: (310) 259-4706
Updated
Certification Date
Oct 25, 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.

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.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

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.