Active NPI
Parallax Program, Inc.
- Substance Abuse Rehabilitation Facility
- Wichita, KS
National Provider Identifier
1619906724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 073
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Exclusive Provider Organization
- Wichita, KS
- NPI 1689603706
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.