NPIMap

Organization Active NPI

Via Christi Hospitals Wichita, Inc.

Doing business as Via Christi Family Medicine Clinic

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1467448696
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 Family Medicine Clinic
Practice address
1121 S Clifton Ave
Wichita, KS 67218-2912
Phone
(316) 689-5500
Fax
(316) 691-6719
NPI assigned
Sep 22, 2005
Last updated
Apr 20, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
VIA CHRISTI HOSPITALS WICHITA, INC.As 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
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 1

IdentifierTypeStateIssuer
100080640DMedicaidKS

Other names 1

  • Via Christi 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
Via Christi Regional Medi

Locations

1100 N Saint Francis Ave
Wichita, KS 67214

1151 N Rock Rd
Ste 100
Wichita, KS 67206

14800 W Saint Teresa St
#1011
Wichita, KS 67235

1515 S Clifton Ave
Ste 130
Wichita, KS 67218
Phone (316) 684-8211

245 N Waco St
Ste 300
Wichita, KS 67202

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

750 N Socora St
Ste 200
Wichita, KS 67212

848 N Saint Francis Ave
Ste 294
Wichita, KS 67214

848 N Saint Francis Ave
Ste 3949
Wichita, KS 67214
Phone (316) 268-8040

906 N Main St
Ste 1
Wichita, KS 67203

929 N Saint Francis Ave
#5097
Wichita, KS 67214

929 N Saint Francis Ave
Ste 3085
Wichita, KS 67214

9727 E Shannon Woods Cir
#S12
Wichita, KS 67226

Practitioners & affiliated clinicians

Practitioners 93

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 93

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": "1467448696",
    "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": "1121 S CLIFTON AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182912",
            "telephone_number": "316-689-5500",
            "fax_number": "316-691-6719"
        }
    ],
    "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080640D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Via Christi 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.