Organization
ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Active
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
3311 E MURDOCK ST, WICHITA, KS 67208
(316) 689-9135
(316) 689-9102
Mailing address
PO BOX 2969, WICHITA, KS 67201-2969
(316) 268-5178
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719
BCBS
KS
05
—
100080310A
—
KS
05
—
200726520I
—
KS
01
—
CC8488
MEDICARE RAILROAD
KS
01
—
CC8489
MEDICARE RAILROAD
KS
01
—
CU0056
MEDICARE RAILROAD
KS
Enumeration date
06/10/2006
Last updated
06/03/2019
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