NPIMap

Organization Active NPI

Bridges Healthcare Inc

  • Primary Care Clinic/Center
  • Wichita, KS
National Provider Identifier
1104397124
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRIDGES HEALTHCARE INC
Practice address
313 S. Market Street
Wichita, KS 67202
Phone
(316) 265-9441
Fax
(316) 265-8657
NPI assigned
Dec 17, 2018
Organization subpart
Yes
Parent organization
HARRY HYNES MEMORIAL HOSPICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria Snyder, RPHNPI 1811485329
Title
Administrator
Phone
(316) 260-4409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

313 S. Market Street
Wichita, KS 67202

Mailing address

313 S. Market Street
Wichita, KS 67202
Phone (316) 265-9441

Other identifiers 1

IdentifierTypeStateIssuer
201244330AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313002071 KS Part B Supplier - Clinic/Group Practice 6305186180 Receives reassigned benefits from 5 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory
Part of
Harry Hynes Memorial Hospice

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/286473/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1104397124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S. MARKET STREET",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67202",
            "telephone_number": "316-265-9441",
            "fax_number": "316-265-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S. MARKET STREET",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67202",
            "telephone_number": "316-265-9441",
            "fax_number": "316-265-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRY HYNES MEMORIAL HOSPICE INC",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "316-260-4409",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201244330A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.