Healthcare Provider Details

I. General information

NPI: 1588650717
Provider Name (Legal Business Name): VIA CHRISTI REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S CLIFTON AVE SUITE 301
WICHITA KS
67218-2900
US

IV. Provider business mailing address

PO BOX 3832
WICHITA KS
67201-3832
US

V. Phone/Fax

Practice location:
  • Phone: 316-858-7200
  • Fax: 316-858-7204
Mailing address:
  • Phone: 316-681-3425
  • Fax: 316-681-3554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY P SCHUMACHER
Title or Position: PRESIDENT & CEO VCRMC
Credential:
Phone: 316-268-5108