Organization
VIA CHRISTI CLINIC, PA
Active
Other names
VCC Independent Lab
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANN M WRIGHT (DIRECTOR,PATIENT FINANCIAL SERVICES)
(316) 689-9617
Entity
Organization
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9343
(316) 689-9313
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080310I
—
KS
01
—
100995
HPK
KS
01
—
113003
BCBS
KS
01
—
16963
COVENTRY
KS
01
—
690002924
MEDICARE RAILROAD
KS
01
—
987
PHS
KS
01
—
CC8848
MEDICARE RAILROAD
KS
01
—
CC8849
MEDICARE RAILROAD
KS
01
—
CU0056
MEDICARE RAILROAD
KS
Enumeration date
09/12/2006
Last updated
09/07/2011
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