Prairie Creek Imaging Llc in Wichita - Diagnostic Radiology

Prairie Creek Imaging Llc - NPI 1245208008

Prairie Creek Imaging Llc is a Diagnostic Radiology in Wichita, Kansas. Prairie Creek Imaging Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Prairie Creek Imaging Llc is 1245208008. The last update date is 2020-08-22.

Prairie Creek Imaging Llc's current location address is Po Box 2854, Wichita, Kansas. You can contact this provider via phone number 3166853698. The mailing address for Prairie Creek Imaging Llc is Po Box 2854, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prairie Creek Imaging Llc
Address Po Box 2854, Wichita, Kansas
Phone Number 3166853698
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Shurtz Glen
Credentials MD
Telephone Number 3162621103

NPI Number Detail

NPI Number 1245208008
Provider Enumeration Date 2006-03-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 2854
City Wichita
State Kansas (KS)
Post Code 672012854
Phone Number 3166853698
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DA5653 RAILROAD MEDICARE
110957 KS BCBS

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FAQs about Prairie Creek Imaging Llc

What is the Prairie Creek Imaging Llc's 1245208008?

The Prairie Creek Imaging Llc's NPI (National Provider Identifier) Number is 1245208008. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Prairie Creek Imaging Llc's facilities are geographically located?

The facilities of Prairie Creek Imaging Llc are physically situated at the following location: Po Box 2854, Wichita, KS, 672012854.

What is Prairie Creek Imaging Llc's area of expertise and its corresponding taxonomy classification?

The Prairie Creek Imaging Llc's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1245208008 to Prairie Creek Imaging Llc?

The Centers for Medicare & Medicaid Services assigned the 1245208008 to Prairie Creek Imaging Llc on 2006-03-09.

As of what date were the details pertaining to Prairie Creek Imaging Llc last refreshed?

The information related to the Prairie Creek Imaging Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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