Organization
PROSCAN IMAGING OF CHILLICOTHE, LLC
Active
Organization
PROSCAN IMAGING OF CHILLICOTHE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH N WALLACE (CFO)
(513) 281-3400
Entity
Organization
Contact information
Practice address
1200 N BRIDGE ST, CHILLICOTHE, OH 45601-1845
(740) 775-7226
(740) 773-7226
Mailing address
1200 N BRIDGE ST, CHILLICOTHE, OH 45601-1845
(740) 775-7226
(740) 773-7226
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1118IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342976
ANTHEM PIN
OH
05
—
2558870
—
OH
01
—
P00203268
RAILROAD MEDICARE
OH
Enumeration date
10/28/2005
Last updated
09/04/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up