# ASCENSION MEDICAL GROUP VIA CHRISTI, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Via Christi Clinic Surgery Center, Ascension Via Christi Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073523452
- **Authorized official:** SUZANN M WRIGHT (DIRECTOR,PATIENT FINANCIAL SERVICES)
- **Authorized official phone:** (316) 719-1201

## Contact information

- **Practice address:** 1947 N FOUNDERS ST, WICHITA, KS 67206-3548
- **Practice address phone:** (316) 613-4931
- **Practice address fax:** (316) 613-4937
- **Mailing address:** PO BOX 8035, WICHITA, KS 67208-0035
- **Mailing address phone:** (316) 689-9135
- **Mailing address fax:** (316) 689-9102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S087015 | KS | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 03/27/2019

## 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 |