NPIMap

Organization Active NPI

Line Medical Inc

  • Diagnostic Radiology Physician
  • Kingman, KS
National Provider Identifier
1124083308
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LINE MEDICAL INC
Practice address
750 Avenue D West
Kingman, KS 67068
Phone
(316) 262-3444
Fax
(316) 262-3006
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Ellen Hancock
Title
Office
Phone
(316) 262-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

750 Avenue D West
Kingman, KS 67068

Mailing address

PO Box 3172
Wichita, KS 67201-3172
Phone (316) 262-3444

Other identifiers 2

IdentifierTypeStateIssuer
100279560AMedicaidKS
110303OtherKSBCBS

National Provider Directory

National Provider Directory

Locations

7111 E 21st St N
Ste A
Wichita, KS 67206
Phone (316) 684-2851

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1124083308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3172",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672013172",
            "telephone_number": "316-262-3444",
            "fax_number": "316-262-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 AVENUE D WEST",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "67068",
            "telephone_number": "316-262-3444",
            "fax_number": "316-262-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "316-262-3444"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279560A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110303",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.