Organization
VIA CHRISTI IMMEDIATE CARE, MOTHER MARY ANNE INC.
Active
Organization
VIA CHRISTI IMMEDIATE CARE, MOTHER MARY ANNE INC.
Active
Other names
Via Christi Mother Mary Anne Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY D BETTIS (CREDENTIALING SPECIALIST)
(316) 268-5266
Entity
Organization
Contact information
Practice address
1152 S. CLIFTON, WICHITA, KS 67218-2913
(316) 689-5121
(316) 689-5122
Mailing address
1152 S. CLIFTON, WICHITA, KS 67218-2913
(316) 689-5121
(316) 689-5122
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200452390A
—
KS
Enumeration date
02/06/2007
Last updated
07/22/2010
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