| Leavenworth Unified School 453 | |
|
210 E Mary St Lansing KS 66043-1633 | |
| (913) 727-1755 | |
| (913) 727-1602 |
| Full Name | Leavenworth Unified School 453 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 210 E Mary St, Lansing, Kansas |
| Authorized Official Name and Position | Kevin Gullett (BUSINESS MANAGER) |
| Authorized Official Contact | 9136841400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leavenworth Unified School 453 200 N 4th St Po Box 969 Leavenworth KS 66048-1963 Ph: (913) 684-1400 | Leavenworth Unified School 453 210 E Mary St Lansing KS 66043-1633 Ph: (913) 727-1755 |
| NPI Number | 1457681108 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457681108 | NPI | - | NPPES |
| 100212020A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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