Organization
VIA CHRISTI HOSPITALS WICHITA, INC
Active
Parent organization
VIA CHRISTI HOSPITALS WICHITA, INC
Other names
Via Christi Chang Family Medicine Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIA CHRISTI HOSPITALS WICHITA, INC
Authorized official
MS. LAURIE A LABARCA (COO)
(316) 268-5161
Entity
Organization
Contact information
Practice address
707 N EMPORIA ST, SUITE E, WICHITA, KS 67214-3707
(316) 858-3460
(316) 858-3458
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080640D
—
KS
Enumeration date
09/22/2005
Last updated
04/20/2012
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