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Contact Information

REBECCA K JORDAN, RN
550 POPE AVE
MUNSON ARMY HEALTH CENTER
FORT LEAVENWORTH, KS66027-2332
 Phone: 913-684-6562
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for

NPI # 1558411231
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/12/2007
Last updated 07/08/2007 - About 19 years ago
Identifiers
IA License # 087676
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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