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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