NPIMap

Organization Active NPI

Wesley Medical Center

Doing business as Wesley Lifewatch

  • Land Ambulance
  • Wichita, KS
National Provider Identifier
1124126651
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WESLEY MEDICAL CENTER
Doing business as
Wesley Lifewatch
Practice address
550 N Hillside St
Wichita, KS 67214-4910
Phone
(316) 962-3150
Fax
(316) 962-7334
NPI assigned
Sep 20, 2006
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Nicole Castleberry
Title
Cfo
Phone
(316) 962-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

550 N Hillside St
Wichita, KS 67214-4910

Mailing address

PO Box 47490
Wichita, KS 67201-7490
Phone (316) 962-3150

Other identifiers 3

IdentifierTypeStateIssuer
656530OtherKSFIRSTGUARD
112012OtherKSBCBS OF KANSAS
100327110LMedicaidKS

Other names 1

  • Wesley Lifewatch Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wesley Medical Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1124126651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47490",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672017490",
            "telephone_number": "316-962-3150",
            "fax_number": "316-962-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144910",
            "telephone_number": "316-962-3150",
            "fax_number": "316-962-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERRY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "316-962-2055"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "656530",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "112012",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100327110L",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Lifewatch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wesley Lifewatch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.