Prairie Creek Imaging Llc

LBN: Prairie Creek Imaging Llc
Prairie Creek Imaging Llc is an health care organization with primary practice located at 500 S Main St , Wichita KS 67202-3722. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is the primary health care specialty. Prairie Creek Imaging Llc can be contacted via phone (316) 262-1103, or through Shurtz, Glen via phone (316) 262-1103.

Contact Information

Primary practice address
500 S Main St Wichita KS 67202-3722
Phone: (316) 262-1103
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shurtz, Glen Doctor of Medicine (MD)
Phone: (316) 262-1103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1245208008
LBN Legal business name Prairie Creek Imaging Llc
DBA Doing business as
Authorized official Shurtz, Glen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245208008 NPPES
Other DA5653 RAILROAD MEDICARE
Other 110957 RAILROAD MEDICARE

Popular Providers