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PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC
NPI 1912875600
Clinic/Center - Rural Health in Leavenworth, KS

Active since October 25, 2025
3550 S 4TH ST STE 200, LEAVENWORTH, KS 66048(913) 680-6442(913) 680-6425 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Healthcare Services - Saint John Leavenworth Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC (NPI 1912875600), doing business as Saint John Primary Care Clinic, is a healthcare organization registered as a rural health in Leavenworth, Kansas and active in the NPI registry since October 2025. The organization lists Christopher Doan, Managing Associate General Counsel, as its authorized official.

NPPES Registry Identity

NPI1912875600
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC
Location Address3550 S 4TH ST STE 200Leavenworth, KS 66048-5009
Mailing Address3550 S 4th St Ste 200Leavenworth, KS 66048-5009 · (913) 680-6442 · Fax (913) 680-6425
Phone(913) 680-6442
Fax(913) 680-6425
Organization SubpartNo
Authorized OfficialChristopher DoanManaging Associate General Counsel · (310) 259-4706
Enumeration DateOctober 25, 2025
NPPES CertifiedOctober 25, 2025
✔ NPI 1912875600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
3550 S 4TH ST STE 200, Leavenworth, KS 66048
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Other Names 1

Doing Business AsSaint John Primary Care Clinic

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAROD JOSEPH MARCOTTE PA-C
Physician Assistant
3550 S 4TH ST STE 200
LEAVENWORTH, KS 66048
Leavenworth County (913) 680-6442
DR. STEVEN SCOTT RANZENBERGER D.O.
Otolaryngology
3550 S 4TH ST STE 200
LEAVENWORTH, KS 66048
Leavenworth County (913) 680-6442
SAMUEL Y HO M.D.
Internal Medicine
3550 S 4TH ST STE 200
LEAVENWORTH, KS 66048
Leavenworth County (913) 680-6442
DANIELLE JANE SIERKS FNP
Nurse Practitioner (Family)
3550 S 4TH ST STE 200
LEAVENWORTH, KS 66048
Leavenworth County (913) 772-6046
GALEN L SEYMOUR MD
Family Medicine
3550 S 4TH ST STE 200
LEAVENWORTH, KS 66048
Leavenworth County (913) 680-6442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Healthcare Services - Saint John Leavenworth LLC's NPI number?

The NPI number for Prime Healthcare Services - Saint John Leavenworth LLC is 1912875600. It was assigned to this organization in the NPPES registry on October 25, 2025. The provider is doing business as Saint John Primary Care Clinic.

Where is Prime Healthcare Services - Saint John Leavenworth LLC located?

Prime Healthcare Services - Saint John Leavenworth LLC is located at 3550 S 4th St Ste 200, Leavenworth, KS 66048. The listed phone number is (913) 680-6442.

What is Prime Healthcare Services - Saint John Leavenworth LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Prime Healthcare Services - Saint John Leavenworth LLC was last updated on October 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.