Organization
HEARTLAND OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN L BURKE (COO)
(316) 219-2999
Entity
Organization
Contact information
Practice address
2021 N AMIDON AVE, WICHITA, KS 67203-2100
(316) 219-2999
(316) 219-2990
Mailing address
PO BOX 1179, WICHITA, KS 67201-1179
(316) 219-2999
(316) 219-2990
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110793
BLUE CROSS/BLUE SHIELD
KS
01
—
501008
HEALTH PARTNERS OF KS
KS
01
—
502070
FIRST GUARD
KS
Enumeration date
06/24/2006
Last updated
08/22/2020
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