Healthcare Provider Details

I. General information

NPI: 1285620419
Provider Name (Legal Business Name): VIA CHRISTI REGIONAL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 N EMPORIA ST SUITE 195
WICHITA KS
67214-2944
US

IV. Provider business mailing address

PO BOX 47000
WICHITA KS
67201-7000
US

V. Phone/Fax

Practice location:
  • Phone: 316-268-5111
  • Fax: 316-291-4896
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 State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal 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