Organization · Type 2 NPI

Va Eastern Kansas Health Care System

Community/Behavioral Health Agency · Leavenworth, KS

NPI number 1083015267 Active

Practice location

4101 S 4th St, Main Hospital, A2, Room A629
Leavenworth, KS 66048-5014

Call (913) 682-2000 Map

Fax (913) 758-4277

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	2244 (KS)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

402 other providers at this address

Other community/behavioral health agency providers in Leavenworth

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NPI record

NPI: 1083015267
Entity type: Organization (Type 2)
Issued: Sep 8, 2014
Last updated: Sep 8, 2014
Status: Active
Subpart: Yes of Department of Veterans Affairs

Other names

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Dwight D. Eisenhower Va Medical Center · other name

Authorized official

Dr. Melinda Ann Gaddy, PhD
Psychologist
(913) 682-2000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083015267

Va Eastern Kansas Health Care System's National Provider Identifier is 1083015267, issued on Sep 8, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Leavenworth, KS. The record was last updated on Sep 8, 2014.