Prime Healthcare Services - Leavenworth Surgery Center, LLC
NPI 1124489083 · Ambulatory Surgical Clinic/Center · Leavenworth, KS
Prime Healthcare Services - Leavenworth Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Leavenworth, KS (NPI 1124489083).
Provider details
- NPI number
- 1124489083
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Nyp, Chief Executive Officer(913) 596-3930
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Saint John Surgery Center
Registry dates
- Enumerated
- 2016-03-18
- Last updated
- 2016-03-18
Frequently asked questions
- What is Prime Healthcare Services - Leavenworth Surgery Center, LLC's NPI number?
- Prime Healthcare Services - Leavenworth Surgery Center, LLC's National Provider Identifier (NPI) is 1124489083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Healthcare Services - Leavenworth Surgery Center, LLC?
- Prime Healthcare Services - Leavenworth Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prime Healthcare Services - Leavenworth Surgery Center, LLC located?
- Prime Healthcare Services - Leavenworth Surgery Center, LLC's practice location on file with NPPES is 3550 S 4th St, Leavenworth, KS 66048-5071.
- What is Prime Healthcare Services - Leavenworth Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Healthcare Services - Leavenworth Surgery Center, LLC is (913) 680-6400.
- Who is the authorized official for Prime Healthcare Services - Leavenworth Surgery Center, LLC?
- The authorized official listed on Prime Healthcare Services - Leavenworth Surgery Center, LLC's NPPES record is Randall Nyp, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Healthcare Services - Leavenworth Surgery Center, LLC's NPI active?
- Yes — Prime Healthcare Services - Leavenworth Surgery Center, LLC's NPI (1124489083) is active in the NPPES registry as of the last update on 2016-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.