Prime Healthcare Physician Services - Providence Inc
NPI 1972119741 · General Practice Physician · Leavenworth, KS
Prime Healthcare Physician Services - Providence Inc is a General Practice Physician organization in Leavenworth, KS (NPI 1972119741).
Provider details
- NPI number
- 1972119741
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Prime Healthcare Physician Services - Providence Inc
- Organization subpart
- Yes
- Authorized official
- David Dulny, Providence Cfo(913) 596-4835
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Registry dates
- Enumerated
- 2020-09-17
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Prime Healthcare Physician Services - Providence Inc's NPI number?
- Prime Healthcare Physician Services - Providence Inc's National Provider Identifier (NPI) is 1972119741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Healthcare Physician Services - Providence Inc?
- Prime Healthcare Physician Services - Providence Inc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Healthcare Physician Services - Providence Inc located?
- Prime Healthcare Physician Services - Providence Inc's practice location on file with NPPES is 3550 S 4th St Ste 100, Leavenworth, KS 66048-5061.
- What is Prime Healthcare Physician Services - Providence Inc's phone number?
- The practice phone number listed in the NPPES registry for Prime Healthcare Physician Services - Providence Inc is (913) 680-6200.
- Who is the authorized official for Prime Healthcare Physician Services - Providence Inc?
- The authorized official listed on Prime Healthcare Physician Services - Providence Inc's NPPES record is David Dulny, Providence Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Healthcare Physician Services - Providence Inc's NPI active?
- Yes — Prime Healthcare Physician Services - Providence Inc's NPI (1972119741) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.