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NPI Code Detail

MEDICARE: ASCENSION VIA CHRISTI IMAGING MANHATTAN, LLC

MEDICARE: ASCENSION VIA CHRISTI IMAGING MANHATTAN, 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
1261QR0206XMammography Clinic/CenterH081003KS
2261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center
3261QM1200XMagnetic Resonance Imaging (MRI) Clinic/CenterH081003KS
4261QR0200XRadiology Clinic/Center
5261QR0200XRadiology Clinic/CenterH081003KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669471710
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENSION VIA CHRISTI IMAGING MANHATTAN, LLC
Provider Business Mailing Address
First Line : PO BOX 1329
Second Line :
City : MANHATTAN
State : KS
Zip : 66505
Country : US
Telephone Number : 785-776-3322
Fax Number : 785-776-1988
Provider Business Practice Location Address
First Line : 1133 COLLEGE AVE
Second Line : BLDG G SUITE 110
City : MANHATTAN
State : KS
Zip : 66502-2770
Country : US
Telephone Number : 785-776-3322
Fax Number : 785-532-9036
Authorized Official
Title or Position : CNO
Name : MRS. CARLA YOST
Credential :
Telephone Number : 913-904-6907
Provider Enumeration Date : 07/20/2005
Last Update Date : 03/26/2019

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