# 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:** Ascension Via Christi Home Medical, Via Christi Home Medical, Via Christi Home Medical Wichita, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649215047
- **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:** 2601 CENTRAL AVE, DODGE CITY, KS 67801-6200
- **Practice address phone:** (620) 227-7080
- **Mailing address:** PO BOX 1933, WICHITA, KS 67201-1933
- **Mailing address phone:** (620) 227-7080

## 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:** 06/19/2006
- **Last updated:** 06/18/2019