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Organization

ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC

Active
Parent organization
ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
Other names
Via Christi Home Medical Wichita, LLC, Ascension Via Christi Home Medical, Via Christi Home Medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC
Authorized official
DEANA RAE HAYNES (SENIOR DIRECTOR)
(316) 858-2124
Entity
Organization

Contact information

Practice address
528 N SAINT FRANCIS ST, WICHITA, KS 67214-3808
(316) 858-2100
Mailing address
PO BOX 1933, WICHITA, KS 67201-1933
(316) 858-2100

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336H0001X
Home Infusion Therapy Pharmacy
209945
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100444310A
KS
01
118181
BLUE CROSS/BLUE SHIELD
KS
05
200254540A
KS
Enumeration date
06/26/2006
Last updated
05/24/2022
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