PRAIRIE ENDOSCOPY LLC NPI 1699189043

NPI Information

NPI: 1699189043
Provider Name: PRAIRIE ENDOSCOPY LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
12115 E 21ST ST N
SUITE 107
WICHITA, KS
ZIP 67206
Phone: (316) 440-7000
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PRAIRIE ENDOSCOPY LLC is an endoscopy clinic center in Wichita, KS. PRAIRIE ENDOSCOPY LLC NPI is 1699189043. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12115 E 21ST ST N
SUITE 107
WICHITA, KS
ZIP 67206-567
Phone: (316) 440-7000
Fax: (316) 440-7006

The provider's authorized official is Jeffrey P Davis .
The authorized official title is Sole Owner and has the following contact phone number (316) 440-7000.

The enumeration date for this NPI number is 6/13/2014 and was last updated on 6/25/2014.

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	207Q00000X	Family Medicine		04-30240	KANSAS	No
2	261QE0800X	Clinic/Center	Endoscopy	04-30240	KANSAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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