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NPI Code Detail

MEDICARE: ADVANCED MEDICAL IMAGING - HUTCHINSON KS LLC

MEDICARE: ADVANCED MEDICAL IMAGING - HUTCHINSON KS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12471M1202XMagnetic Resonance Imaging Radiologic Technologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2110652OTHERKSBLUE CROSS BLUE SHIELD
3500458OTHERKSHEALTH PARTNERS OF KANSAS
4412980OTHERKSFIRST GUARD
54994OTHERKSPREFERRED HEALTH SYSTEMS
6470001786OTHERKSPALMETTO

General Provider Information

NPI Number : 1679518294
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED MEDICAL IMAGING - HUTCHINSON KS LLC
Provider Business Mailing Address
First Line : PO BOX 781838
Second Line :
City : WICHITA
State : KS
Zip : 67278-1838
Country : US
Telephone Number : 877-502-1209
Fax Number : 877-219-2990
Provider Business Practice Location Address
First Line : 1730 E 23RD AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1114
Country : US
Telephone Number : 620-728-1666
Fax Number : 620-728-0205
Authorized Official
Title or Position : COO
Name : MR. ALAN L BURKE
Credential :
Telephone Number : 316-371-6936
Provider Enumeration Date : 06/18/2006
Last Update Date : 12/10/2012

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Directions to “ADVANCED MEDICAL IMAGING - HUTCHINSON KS LLC ” Practice Location

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