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Contact Information

HAYSVILLE DIAGNOSTIC CENTER LLC
2020 N TYLER RD
STE. # 114
WICHITA, KS67212-4916
 Phone: 316-491-2093
 Fax: 316-491-2097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology, Mammography

261QR0206X
 

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for HAYSVILLE DIAGNOSTIC CENTER LLC

NPI # 1104874510
LBN Legal business name HAYSVILLE DIAGNOSTIC CENTER LLC
Authorized official DANIEL ALVAREZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
KS License # 236167
KS Other 130594 BCBS KS
KS Other 5510599 CCN NETWORK
KS Other 500179 HEALTH PARTNERS OF KS
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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