WHITEWATER VALLEY IMAGING CENTER NPI 1417937855

NPI Information

NPI: 1417937855
Provider Name: WHITEWATER VALLEY IMAGING CENTER
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1475 E STATE ROAD 44
CONNERSVILLE, IN
ZIP 47331
Phone: (765) 827-8686
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WHITEWATER VALLEY IMAGING CENTER is a radiology clinic center in Connersville, IN. WHITEWATER VALLEY IMAGING CENTER NPI is 1417937855. The provider is registered as an organization entity type.

The provider's business location address is:

1475 E STATE ROAD 44
CONNERSVILLE, IN
ZIP 47331-292
Phone: (765) 827-8686

The provider's authorized official is William Acton .
The authorized official title is Managing Member and has the following contact phone number (765) 825-8686.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 9/22/2011.

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	261QR0200X	Clinic/Center	Radiology			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	200367620A	MEDICAID	INDIANA
2	192250	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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