Dr. Immaculada Manzanares Decena
Emergency Medical Services
711 Marshall St Cushing Hopsital Emergency Department
Leavenworth
, Kansas 66048-3235
Dr. Immaculada Manzanares Decena
Emergency Medical Services
711 Marshall St Cushing Hopsital Emergency Department
Leavenworth
, Kansas 66048-3235
(913) 727-2415
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Immaculada Manzanares Decena
- Po Box 1675
- Leavenworth, KS
- Zip : 66048-0675
- Fax : (913) 727-2415
- Phone : (913) 250-0468
Second Address
- Dr. Immaculada Manzanares Decena
- 711 Marshall St Cushing Hopsital Emergency Department
- Leavenworth, KS
- Zip : 66048-3235
- Fax : (913) 684-1273
- Phone : (913) 682-1144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 4-16250 | KS |
National Provider Identifier
| NPI | 1093850646 |
|---|---|
| Provider Name | Dr. Immaculada Manzanares Decena |
| First Address | Leavenworth, KS 66048-0675 |
| Second Address | Leavenworth, KS 66048-3235 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 08/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000107272 | BCBS OF KS (01) | KS |
| 100164350E | (05) | KS |
| C52302 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.