PRAIRIE IMAGING PC NPI 1366423618

NPI Information

NPI: 1366423618
Provider Name: PRAIRIE IMAGING, PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
112 3RD ST W
DICKINSON, ND
ZIP 58601
Phone: (701) 486-4546
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PRAIRIE IMAGING, PC is a diagnostic radiology radiology in Dickinson, ND. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PRAIRIE IMAGING, PC NPI is 1366423618. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

112 3RD ST W
DICKINSON, ND
ZIP 58601-136
Phone: (701) 486-4546
Fax: (701) 483-4545

The provider's authorized official is Garry K Dunn .
The authorized official title is Radiologist and has the following contact phone number (701) 483-4546.

The enumeration date for this NPI number is 11/11/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	9874	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12750	MEDICAID	NORTH DAKOTA
2	13281	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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