Organization Active NPI

Parallax Program, Inc.

  • Substance Abuse Rehabilitation Facility
  • Wichita, KS
National Provider Identifier
1619906724
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
073 Issued in KS
Legal business name
PARALLAX PROGRAM, INC.
Practice address
3410 E Funston St
Wichita, KS 67218-3946
Phone
(316) 689-6813
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edie Foulk
Title
Admission/Billing Manager
Phone
(316) 689-6813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 073 KS Primary

Addresses

Primary practice location

3410 E Funston St
Wichita, KS 67218-3946

Mailing address

3410 E Funston St
Wichita, KS 67218-3946
Phone (316) 689-6813

National Provider Directory

National Provider Directory
Tax ID family
Parallax Program Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3410 E Funston St
Wichita, KS 67218
Phone (316) 689-6813

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619906724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183946",
            "telephone_number": "316-689-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 E FUNSTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183946",
            "telephone_number": "316-689-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARALLAX PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOULK",
        "authorized_official_first_name": "EDIE",
        "authorized_official_title_or_position": "ADMISSION/BILLING MANAGER",
        "authorized_official_telephone_number": "316-689-6813"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KS",
            "license": "073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.