Healthcare Provider Details

I. General information

NPI: 1144220153
Provider Name (Legal Business Name): ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1823 COLLEGE AVE
MANHATTAN KS
66502-3381
US

IV. Provider business mailing address

PO BOX 1047
MANHATTAN KS
66505-1047
US

V. Phone/Fax

Practice location:
  • Phone: 785-776-3322
  • Fax: 785-776-1988
Mailing address:
  • Phone: 785-776-3322
  • Fax: 785-776-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberH081003
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberH081003
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberH081003
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH081003
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberH081003
License Number StateKS
# 6
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberH081003
License Number StateKS
# 7
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberH081003
License Number StateKS
# 8
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberH081003
License Number StateKS
# 9
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberH081003
License Number StateKS
# 10
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 11
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberH081003
License Number StateKS
# 12
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberH081003
License Number StateKS

VIII. Authorized Official

Name: ROBERT COPPLE
Title or Position: SENIOR ADMINISTRATOR
Credential:
Phone: 785-776-2841