NPIMap

Organization Active NPI

Parallax Program, Inc. Outpatient

  • Exclusive Provider Organization
  • Wichita, KS
National Provider Identifier
1689603706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
073 Issued in KS
Legal business name
PARALLAX PROGRAM, INC. OUTPATIENT
Practice address
830 S Hillside St
Wichita, KS 67211-3004
Phone
(316) 686-3224
NPI assigned
Jul 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Exclusive Provider Organization 302F00000X 073 KS Primary

Addresses

Primary practice location

830 S Hillside St
Wichita, KS 67211-3004

Mailing address

830 S Hillside St
Wichita, KS 67211-3004
Phone (316) 686-3224

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.

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": "1689603706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113004",
            "telephone_number": "316-686-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113004",
            "telephone_number": "316-686-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARALLAX PROGRAM, INC. OUTPATIENT",
        "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": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "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.