Via Christi Hospitals Wichita, Inc.
Organization Active NPI Family Medicine Physician · Wichita, KS
NPI 1467448696 · NPPES record last updated Apr 20, 2012
Key facts
- NPI
- 1467448696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- VIA CHRISTI HOSPITALS WICHITA, INC.
- Practice address
- 1121 S Clifton Ave
Wichita, KS 67218-2912 - Phone
- (316) 689-5500
- Fax
- (316) 691-6719
- NPI assigned
- Sep 22, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- VIA CHRISTI HOSPITALS WICHITA, INC.
Authorized official
- Name
- Ms. Laurie A Labarca
- Title
- Coo
- Phone
- (316) 268-5161
Other NPIs on the same Medicare enrollment 13
Practitioners 93
-
Raid Abu-Awwad, MD
-
Kristina Theresa Acevedo, M.B.B.S
-
Audra M Birzer, APRN
-
David Bryant, MD
-
Bruce R Buhr, MD
-
Bassem Mounir Chehab, M.D.
-
Kate J Clawson, APRN
-
Paul Cleland, MD
-
Tiffany Coleman, ARNP
-
Shawn L Conard, M.D.
-
Simone P Culver, PA-C
-
Freidy Eid, MD
-
Nadia Gibson, MD
-
Melissa Good, APRN
-
Madelanna Gutierrez, APRN
-
James M. Haan, MD
-
Heather J Heiman, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Part of
- Via Christi Reg Me VCRM
Locations
1151 N Rock Rd
Ste 100
Wichita, KS 67206
14800 W Saint Teresa St
#1011
Wichita, KS 67235
929 N Saint Francis Ave
#5097
Wichita, KS 67214
1130 S Clifton Ave
Wichita, KS 67218
Phone (316) 260-1500
848 N Saint Francis Ave
Ste 294
Wichita, KS 67214
929 N Saint Francis Ave
Ste 3085
Wichita, KS 67214
848 N Saint Francis Ave
Ste 2945
Wichita, KS 67214
Phone (316) 261-3130
245 N Waco St
Ste 300
Wichita, KS 67202
1100 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 268-5266
9727 E Shannon Woods Cir
#S12
Wichita, KS 67226
906 N Main St
Ste 1
Wichita, KS 67203
9300 E 29th St N
Ste 350
Wichita, KS 67226
Phone (316) 636-5800
1515 S Clifton Ave
Ste 205
Wichita, KS 67218
Phone (316) 274-8188
1515 S Clifton Ave
Ste 301
Wichita, KS 67218
Phone (316) 618-0035
9 McElhaney Rd
Travelers Rst, SC 29690
Phone (864) 834-3192
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Pediatrics Physician |
208000000X |
Addresses
Primary practice location
1121 S Clifton Ave
Wichita, KS 67218-2912
Mailing address
PO Box 1897
Wichita, KS 67201-1897
Phone (316) 268-8131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100080640D | Medicaid | KS |
Other names
- Via Christi Family Medicine Clinic
Other providers in Wichita, KS
- Via Christi Home Health Wichita, LLC
- Via Christi Home Health Wichita, LLC
- Via Christi Home Medical Wichita, LLC
- Via Christi Hospitals Wichita, Inc
- Via Christi Hospitals Wichita, Inc.
- Via Christi Immediate Care, Mother Mary Anne Inc.
- Via Christi Pharmacy
- Via Christi Regional Medical Center
- Via Christi Regional Medical Center
- Via Christi Regional Medical Center
All providers in Wichita, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.