Organization
VIA CHRISTI CLINIC, PA
Active
Other names
VCC Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUZAN M WRIGHT (DIRECTOR,PATIENT FINANCIAL SERVICES)
(316) 719-1201
Entity
Organization
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9595
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014307
BCBS
KS
01
—
1088
PHS
KS
01
—
16690
COVENTRY
KS
05
—
200726520G
—
KS
01
—
400505
HPK
KS
01
—
CC8848
MEDICARE RAILROAD
KS
01
—
CC8849
MEDICARE RAILROAD
KS
01
—
CU0056
MEDICARE RAILROAD
KS
Enumeration date
09/15/2006
Last updated
01/07/2016
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