OrganizationActive
Prime Healthcare Services - Leavenworth Surgery Center, LLC
NPI 1124489083 · Ambulatory Surgical Clinic/Center · Leavenworth, KS
Provider details
- NPI number
- 1124489083
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Randall Nyp, Chief Executive Officer
Practice location
3550 S 4th St
Suite G1
Leavenworth, KS 66048-5071
Phone: (913) 680-6400
Mailing address
3500 S 4th St
Leavenworth, KS 66048-5043
Registry dates
- Enumerated
- 2016-03-18
- Last updated
- 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.