Organization Active NPI

Whitewater Valley Imaging Center

  • Radiology Clinic/Center
  • Connersville, IN
National Provider Identifier
1417937855
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WHITEWATER VALLEY IMAGING CENTER
Practice address
1475 E State Road 44
Connersville, IN 47331-8292
Phone
(765) 827-8686
NPI assigned
Jan 20, 2006
Last updated
Sep 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
William Acton
Title
Managing Member
Phone
(765) 825-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1475 E State Road 44
Connersville, IN 47331-8292

Mailing address

PO Box 779
Connersville, IN 47331-0779
Phone (765) 827-1929

Other identifiers 1

IdentifierTypeStateIssuer
200367620AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1417937855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473310779",
            "telephone_number": "765-827-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318292",
            "telephone_number": "765-827-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER VALLEY IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "ACTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "765-825-8686"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200367620A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.