Prairie Creek Imaging Llc in Wichita - Body Imaging
Prairie Creek Imaging Llc - NPI 1245208008
Prairie Creek Imaging Llc is a Body Imaging in Wichita, Kansas. Prairie Creek Imaging Llc practices all healthcare services and medical treatments related to Body Imaging. 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 |
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Address | Po Box 2854, Wichita, Kansas |
Phone Number | 3166853698 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Shurtz Glen |
Credentials | MD |
Telephone Number | 3162621103 |
NPI Number Detail
NPI Number | 1245208008 |
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Provider Enumeration Date | 2006-03-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 2854 |
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City | Wichita |
State | Kansas (KS) |
Post Code | 672012854 |
Phone Number | 3166853698 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Body Imaging |
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Taxonomy | 2085B0100X |
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
DA5653 | RAILROAD MEDICARE | ||
110957 | KS | BCBS |
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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 Body Imaging, and it falls under the taxonomy code 2085B0100X, 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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