Via Christi Regional Medical Center
Organization Active NPI Athletic Trainer · Wichita, KS
NPI 1467500199 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1467500199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 24-00037 (KS)
- Legal business name
- VIA CHRISTI REGIONAL MEDICAL CENTER
- Practice address
- 3100 W McCormick St
Wichita, KS 67213-2008 - Phone
- (316) 942-4291
- Fax
- (316) 942-4483
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Cameron Keith Clark, LATC
- Title
- Head Certified Athletic Trainer
- Phone
- (316) 942-4291
Corporate family (same tax ID) 11
Practitioners 8
-
Cameron Keith Clark, L.ATC
-
Paul Cleland, MD
-
Terra Nicole Macklin, MS LAT ATC
-
Haleigh Raeann Owens, ATC
-
Andrew S. T. Porter, D.O., FAAFP
National Provider Directory
- Tax ID family
- Via Christi Reg Me VCRM
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer |
2255A2300X | 24-00037 | KS | Yes |
Addresses
Primary practice location
3100 W McCormick St
Wichita, KS 67213-2008
Mailing address
3100 W McCormick St
Wichita, KS 67213-2008
Phone (316) 942-4291
Other providers in Wichita, KS
- 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
- Via Christi Regional Medical Center
- Via Christi Regional Medical Center
- Via Christi Regional Medical Center
- Via Christi Regional Medical Center
- Via Christi Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.