Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Healthcare Services - Leavenworth Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1124489083

Prime Healthcare Services - Leavenworth Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Leavenworth, Kansas. Licensed in Kansas. Registered with an NPI since 2016.

Licensed in
KS
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3550 S 4th St Ste G1
Leavenworth, KS 66048-5071
Phone: (913) 680-6400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X (KS)

Record details

NPI number1124489083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Nyp — Chief Executive Officer · (913) 596-3930
Other names Saint John Surgery Center
NPI enumeratedMarch 18, 2016
Last updated in NPPESMarch 18, 2016
Mailing address3500 S 4th St, Leavenworth, KS 66048-5043