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Contact Information

WALNUT VALLEY IMAGING PA
817 MAIN ST
WINFIELD, KS67156-2834
 Phone: 620-441-5788
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for WALNUT VALLEY IMAGING PA

NPI # 1083675227
LBN Legal business name WALNUT VALLEY IMAGING PA
Authorized official NEIL ROSENQUIST - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2006
Last updated 05/06/2008 - About 18 years ago
Identifiers
KS Medicaid 200385950A
MO Medicaid 504467606
OK Medicaid 200046910A
KS Other 111117 BCBS
OK Other 201910946001 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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