Organization Active NPI

Via Christi Home Medical Wichita, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
National Provider Identifier
1336457548
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VIA CHRISTI HOME MEDICAL WICHITA, LLC
Practice address
14700 W. St. Teresa
Suite 100
Wichita, KS 67235-9603
Phone
(316) 796-7880
Fax
(316) 796-7884
NPI assigned
Sep 22, 2010
Last updated
Oct 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Deana Rae Haynes
Title
Senior Director
Phone
(316) 858-2124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

14700 W. St. Teresa
Suite 100
Wichita, KS 67235-9603

Mailing address

PO Box 1933
Wichita, KS 67201-1933
Phone (316) 796-7880

Other identifiers 2

IdentifierTypeStateIssuer
347591OtherKSBCBS
100444280DMedicaidKS

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1336457548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1933",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011933",
            "telephone_number": "316-796-7880",
            "fax_number": "316-796-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 W. ST. TERESA",
            "address_2": "SUITE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672359603",
            "telephone_number": "316-796-7880",
            "fax_number": "316-796-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA CHRISTI HOME MEDICAL WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "316-858-2124"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "347591",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100444280D",
            "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 Oct 27, 2017; 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.