Prairie Independent Living Resource Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

PRAIRIE INDEPENDENT LIVING RESOURCE CENTER

Practice address

17 S Main St
Hutchinson, KS 67501-5421

Phone

(620) 663-3989

Fax

(620) 663-4711

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Christine L Owens

Title

Executive Director

Phone

(620) 663-3989

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1295871010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S MAIN ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015421",
            "telephone_number": "620-663-3989",
            "fax_number": "620-663-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S MAIN ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015421",
            "telephone_number": "620-663-3989",
            "fax_number": "620-663-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE INDEPENDENT LIVING RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "620-663-3989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317960B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317960C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317960D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Potter
• Rory D Poulain, RPH
• Tamara Poulton
• Jill L Powell, PA
• Michele Marie Powell
• Prairiestar Health Center, Inc
• Prairiestar Health Center, Inc
• Raul Francisco Prezas, MA, CFY-SLP
• Katy Deanne Price, P.A.
• Melissa Price, APRN

• Voluntary or Charitable Agency in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Voluntary or Charitable Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.