Healthcare Provider Details

I. General information

NPI: 1346169026
Provider Name (Legal Business Name): ASCENSION VIA CHRISTI HOSPITAL ST PETER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 N ROCK RD
DERBY KS
67037-3850
US

IV. Provider business mailing address

14800 W SAINT TERESA ST
WICHITA KS
67235-9602
US

V. Phone/Fax

Practice location:
  • Phone: 316-858-4932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. MIKE JOY
Title or Position: ASSISTANT CFO
Credential:
Phone: 316-858-4932