Healthcare Provider Details

I. General information

NPI: 1164535563
Provider Name (Legal Business Name): VIA CHRISTI REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 N SAINT FRANCIS ST
WICHITA KS
67214-3821
US

IV. Provider business mailing address

PO BOX 48289
WICHITA KS
67201-8289
US

V. Phone/Fax

Practice location:
  • Phone: 316-268-8131
  • Fax: 316-291-4788
Mailing address:
  • Phone: 316-268-8131
  • Fax: 316-291-4788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateKS

VIII. Authorized Official

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