NPIMap

Organization Active NPI

Via Christi Hospitals Wichita, Inc

Doing business as Via Christi Chang Family Medicine Clinic

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1376539502
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VIA CHRISTI HOSPITALS WICHITA, INC
Doing business as
Via Christi Chang Family Medicine Clinic
Practice address
707 N Emporia St
Suite E
Wichita, KS 67214-3707
Phone
(316) 858-3460
Fax
(316) 858-3458
NPI assigned
Sep 22, 2005
Last updated
Apr 20, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
VIA CHRISTI HOSPITALS WICHITA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Ms. Laurie A Labarca
Title
Coo
Phone
(316) 268-5161

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
Sports Medicine (Family Medicine) Physician 207QS0010X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

707 N Emporia St
Suite E
Wichita, KS 67214-3707

Mailing address

PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-8131

Other identifiers 1

IdentifierTypeStateIssuer
100080640DMedicaidKS

Other names 1

  • Via Christi Chang Family Medicine Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000404 KS Part B Supplier - Clinic/Group Practice 5799696944 Receives reassigned benefits from 222 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wichita, KS; Winfield, KS; Caldwell, KS; Chanute, KS; Eureka, KS; Great Bend, KS; Hoisington, KS; Hutchinson, KS…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Part of
St Francis Emergency PH

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1376539502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N EMPORIA ST",
            "address_2": "SUITE E",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143707",
            "telephone_number": "316-858-3460",
            "fax_number": "316-858-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA CHRISTI HOSPITALS WICHITA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIA CHRISTI HOSPITALS WICHITA, INC",
        "enumeration_date": "2005-09-22",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "LABARCA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "316-268-5161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080640D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Via Christi Chang Family Medicine Clinic",
            "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 Apr 20, 2012; 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.