PREMIER OPEN MRI, INC.


Address: 500 S Main St, Wichita, KS 67202-3722
Phone: 3162621103

PREMIER OPEN MRI, INC. (NPI# 1457343204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457343204
Entity Type Organization
Organization Name PREMIER OPEN MRI, INC.
Practice Address 500 S Main St
Wichita
KS 67202-3722
Practice Telephone 3162621103
Practice Fax Number 3162621203
Mailing Telephone 3162621103
Mailing Fax Number 3162621203
Enumeration Date 2005-08-18
Last Update Date 2019-03-06
Authorized Official Name ANDREA DESHAE SLOAN (DIRECTOR OF CREDENTIALING)
Authorized Official Telephone 4695753200
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KS 100316860A 05

Office Location

Street Address 500 S MAIN ST
City WICHITA
State KS
Zip Code 67202-3722

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1912423823 Jenni Harshbarger, Phd, P.a. Clinic/Center 801 E. Douglas, Regus Suites, 2nd Floor, Wichita, KS 67202 2017-08-22
1336695287 The Young Men's Christian Association of Wichita, Kansas Health Educator 402 N Market St, Wichita, KS 67202 2016-08-31
1699103739 Nadine Reimer Penner Social Worker 313 S Market Street, Wichita, KS 67202 2013-10-29
1386992691 Andrea Lynn Kasper-doggett Social Worker 100 S Market St Ste 2a, Wichita, KS 67202 2012-08-16
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1851539431 Peter Anthony Conrardy Anesthesiology 224 E. Douglas Ave., Suite 400 C/o Anesthesia Consulting Services, Wichita, KS 67202 2009-02-04
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1609817907 Diagnostic Ultrasound Services, Inc Clinic/Center 7570 W. 21st Street North, Building 1050 Suite D, Wichita, KS 67205 2006-06-09
1114919859 Diagnostic Ultrasound Services, Inc. Clinic/Center 7829 E Rockhill St, Wichita, KS 67206-3914 2005-08-18
1437209160 Diagnostic Imaging Services, LLC Clinic/Center 2020 N Woodlawn St, Suite 350, Wichita, KS 67208-1852 2007-01-12
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1710949573 Open Mri of Kansas City, LLC Clinic/Center 4907 Town Center Dr, Leawood, KS 66211-2057 2006-04-05
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1871990424 St Rose Health Center Inc Clinic/Center 3515 Broadway Ave, Great Bend, KS 67530-3633 2014-11-25
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Competitor

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City WICHITA
Zip Code 67202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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