MUNSON ARMY HEALTH CENTER (NPI# 1992107627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992107627 |
| Entity Type | Organization |
| Organization Name | MUNSON ARMY HEALTH CENTER |
| Other Organization Name | MAHC |
| Practice Address |
550 Pope Ave Bldg 343, Room 1a146 Fort Leavenworth KS 66027-2332 |
| Practice Telephone | 9136846054 |
| Mailing Telephone | 9136846054 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | DR. APARNA BARBARA RAIZADA (CHIEF, PHARMACY SERVICES) |
| Authorized Official Telephone | 9136846054 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | US ARMY MEDICAL COMMAND UIC | W2P4AA | 01 |
| Other Name | Type Code |
|---|---|
| MAHC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902048937 | Munson Army Health Center | Clinic/Center | 156 S Melrose Ln, Tonganoxie, KS 66086-8939 | 2009-04-06 |
| 1285847731 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2007-05-08 |
| 1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| 1154641561 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Tmc #2, Fort Leavenworth, KS 66027-2364 | 2010-06-08 |
| 1912158445 | Munson Army Health Center | Clinic/Center | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2008-10-02 |
| 1316104433 | Munson Army Health Center | General Acute Care Hospital | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2008-05-16 |
| 1063617447 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2007-06-18 |
| 1356545057 | Munson Army Health Center | Clinic/Center | 520 Pope Ave, Building 57 Usadc, Fort Leavenworth, KS 66027-2332 | 2007-06-14 |
| 1861605404 | Munson Army Health Center | Clinic/Center | 15431 Andrews Rd, Kansas City, MO 64147-1221 | 2007-05-08 |
| Street Address |
550 POPE AVE BLDG 343, ROOM 1A146 |
| City | FORT LEAVENWORTH |
| State | KS |
| Zip Code | 66027-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449316 | Jerry Lee Green Jr. | Nurse Practitioner | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2005-07-06 |
| 1780283531 | Nicole Hazelton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-22 |
| 1437758687 | Drusilla Cox | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-20 |
| 1780216606 | Robin Michelle Collie | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-02-08 |
| 1285083162 | Courtney Spongberg | Physical Therapist | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2016-06-10 |
| 1609278118 | Denise Dennell Hinton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2014-09-16 |
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| 1588928758 | Susana Suyapa Guerrero | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-07-02 |
| 1194096271 | Jennifer Marlene Diggs | Licensed Practical Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-01-20 |
| 1083985378 | Dianna Gail Wolfe | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801019 | Sarah M. Galloway | Counselor | 32 Pick Ave, Fort Leavenworth, KS 66027 | 2012-05-01 |
| 1659566750 | Dong S Lee | Dentist | Us Army Dental Health Activity, 520 Pope Avenue, Fort Leavenworth, KS 66027 | 2007-09-11 |
| 1942354998 | Shaun Lydell Kanion | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
| 1063594158 | Ellen Henley Galloway | Psychologist | 1301 North Warehouse Rd, Usdb-dtp, Ft Leavenworth, KS 66027 | 2006-10-19 |
| 1083666770 | Mary Shancy Francis | Family Medicine | Munson Army Health Center 550 Pope Ave, Leavenworth, KS 66027 | 2006-05-17 |
| 1053601724 | Forest Tu Pavel | Counselor | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027 | 2011-04-14 |
| 1629242797 | Willy Clarkson Cornett | Registered Nurse | 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, KS 66027 | 2008-04-18 |
| 1356495394 | Kevin Michael Madjarac | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1548468465 | Sara Anne Dame | Licensed Practical Nurse | 505 Pope, Ft. Leavenworth, KS 66027-0000 | 2007-07-03 |
| Find all providers in zip 66027 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285847731 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2007-05-08 |
| 1154641561 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Tmc #2, Fort Leavenworth, KS 66027-2364 | 2010-06-08 |
| 1912158445 | Munson Army Health Center | Clinic/Center | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2008-10-02 |
| 1063617447 | Munson Army Health Center | Clinic/Center | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027-2364 | 2007-06-18 |
| 1356545057 | Munson Army Health Center | Clinic/Center | 520 Pope Ave, Building 57 Usadc, Fort Leavenworth, KS 66027-2332 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750777264 | Irwin Army Community Hospital | Clinic/Center | 623 Southwind Drive, Junction City, KS 66441 | 2015-04-10 |
| 1518386127 | Irwin Army Community Hospital | Clinic/Center | Normandy Drive Bldg 7665, Ft Riley, KS 66442 | 2014-04-10 |
| 1326465832 | Irwin Army Community Hospital | Clinic/Center | 7006 Normandy Ave, Ft Riley, KS 66442 | 2014-03-21 |
| 1588991376 | Irwin Army Community Hospital | Clinic/Center | 7606 Parker St, Tbi Clinic, Ft Riley, KS 66442-4247 | 2009-11-16 |
| 1720214554 | Irwin Army Community Hospital | Clinic/Center | 602 Huebner Rd, Us Army Dental Clinic 2, Fort Riley, KS 66442-4030 | 2009-06-08 |
| 1770730152 | Irwin Army Community Hospital | Clinic/Center | 210 Custer Ave, Fort Riley, KS 66442-1101 | 2008-08-27 |
| 1992909824 | Irwin Army Community Hospital | Clinic/Center | Building 210, Custer Avenue, Fort Riley, KS 66442 | 2007-06-13 |
| 1184828311 | Irwin Army Community Hospital | Clinic/Center | 7670 Parker Road, Us Army Dental Clinic 3, Fort Riley, KS 66442 | 2007-06-12 |
| 1750598819 | Irwin Army Community Hospital | Clinic/Center | 7672 Parker Rd, Bldg 7672, Fort Riley, KS 66442 | 2007-05-17 |
| 1629272547 | Irwin Army Community Hospital | Clinic/Center | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2007-06-13 |
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| City | FORT LEAVENWORTH |
| Zip Code | 66027 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.