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Organization
ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Active
Organization
ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Active
Other names
Via Christi Clinic Surgery Center, Ascension Via Christi Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANN M WRIGHT (DIRECTOR,PATIENT FINANCIAL SERVICES)
(316) 719-1201
Entity
Organization
Contact information
Practice address
1947 N FOUNDERS ST, WICHITA, KS 67206-3548
(316) 613-4931
(316) 613-4937
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S087015
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101103
HPK
KS
01
—
112223
BCBS
KS
01
—
14908
PHS
KS
05
—
200726520H
—
KS
01
—
245716
COVENTRY
KS
01
—
CC8848
MEDICARE RAILROAD
KS
01
—
CC8849
MEDICARE RAILROAD
KS
01
—
CU0056
MEDICARE RAILROAD
KS
01
—
P00294493
RR MEDICARE
KS
Enumeration date
08/09/2006
Last updated
03/27/2019
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