PRAIRIE CREEK IMAGING LLC NPI 1245208008

NPI Information

NPI: 1245208008
Provider Name: PRAIRIE CREEK IMAGING LLC
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
500 S MAIN ST
WICHITA, KS
ZIP 67202
Phone: (316) 262-1103
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PRAIRIE CREEK IMAGING LLC is a body imaging radiology in Wichita, KS. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. PRAIRIE CREEK IMAGING LLC NPI is 1245208008. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 S MAIN ST
WICHITA, KS
ZIP 67202-722
Phone: (316) 262-1103

The provider's authorized official is Glen Shurtz .
The authorized official title is President and has the following contact phone number (316) 262-1103.

The enumeration date for this NPI number is 3/9/2006 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	2085B0100X	Radiology	Body Imaging			Yes
2	2085R0202X	Radiology	Diagnostic Radiology			X

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	110957	OTHER	KANSAS	BCBS
2	DA5653	OTHER		RAILROAD MEDICARE

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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