Organization
VIA CHRISTI EMERGENCY PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE A. LABARCA (INTERIM CEO)
(316) 268-5161
Entity
Organization
Contact information
Practice address
929 N. ST. FRANCIS, WICHITA, KS 67214-3821
(316) 268-5775
(316) 291-7496
Mailing address
PO BOX 47222, WICHITA, KS 67201-7222
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110990
BLUE SHIELD
KS
05
—
200004860A
—
KS
Enumeration date
04/19/2006
Last updated
02/17/2014
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