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ELEVEN-TWELVE COMPANY NPI 1831310119


NPI Information

NPI: 1831310119
Provider Name: ELEVEN-TWELVE COMPANY

Doing Business As: KANSAS CARDIAC CLINIC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1144 N SAINT FRANCIS ST
WICHITA, KS
ZIP 67214
Phone: (316) 267-0159
Get Directions

ELEVEN-TWELVE COMPANY is a cardiovascular disease internal medicine in Wichita, KS. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ELEVEN-TWELVE COMPANY NPI is 1831310119. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kansas Cardiac Clinic.

The provider's business location address is:

1144 N SAINT FRANCIS ST
WICHITA, KS
ZIP 67214-814
Phone: (316) 267-0159
Fax: (316) 267-3601

The provider's authorized official is Raul Alvarez .
The authorized official title is Administrator and has the following contact phone number (316) 267-0159.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 1/12/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine04-23137KANSASNo
22086S0129XSurgeryVascular SurgeryNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1045263MEDICARE ID-TYPE UNSPECIFIED
21366520686OTHERNPI
3F74219MEDICARE UPIN
4100083020AMEDICAIDKANSAS
5B68206MEDICARE UPIN
6P38774MEDICARE UPIN
7058636MEDICARE ID-TYPE UNSPECIFIED
8426953MEDICARE ID-TYPE UNSPECIFIED
9100197170AMEDICAIDKANSAS
101811979644OTHERNPI
111073595815OTHERNPI
12045261MEDICARE ID-TYPE UNSPECIFIED
13100158960BMEDICAIDKANSAS
14100402610CMEDICAIDKANSAS
151710969548OTHERNPI
161588646236OTHERNPI
17E94523MEDICARE UPIN
18B91093MEDICARE UPIN
19041878MEDICARE ID-TYPE UNSPECIFIED
20100236410CMEDICAIDKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.