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NPI Code Detail

MEDICARE: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC

MEDICARE: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacy

General Provider Information

NPI Number : 1215639661
Entity Type Code : Organization
Provider Name (Legal Business Name) : SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Provider Business Mailing Address
First Line : 500 ELDORADO BLVD STE 4300
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-3564
Country : US
Telephone Number : 303-272-0566
Fax Number : 303-272-0390
Provider Business Practice Location Address
First Line : 602 HENRY CHAPPLE ST
Second Line :
City : BILLINGS
State : MT
Zip : 59106-1874
Country : US
Telephone Number : 406-237-3560
Fax Number : 406-206-5794
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : CARRIE DUNFORD
Credential :
Telephone Number : 801-284-1004
Provider Enumeration Date : 03/20/2023
Last Update Date : 03/20/2023

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Directions to “SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC ” Practice Location

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