# ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
- **Other names:** Via Christi Home Medical, Via Christi Home Medical Wichita, LLC, Ascension Via Christi Home Medical
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629005699
- **Legal business name:** ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
- **Authorized official:** DEANA RAE HAYNES (SENIOR DIRECTOR)
- **Authorized official phone:** (316) 858-2124

## Contact information

- **Practice address:** 2439 CLAFLIN ROAD, MANHATTAN, KS 66502
- **Practice address phone:** (785) 537-3699
- **Mailing address:** PO BOX 1933, WICHITA, KS 67201-1933
- **Mailing address phone:** (785) 537-3699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 06/18/2019
