Healthcare Provider Details

I. General information

NPI: 1912993148
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

929 N SAINT FRANCIS ST
WICHITA KS
67214-3821
US

IV. Provider business mailing address

PO BOX 48542
WICHITA KS
67201-8542
US

V. Phone/Fax

Practice location:
  • Phone: 316-268-5794
  • Fax: 316-291-7921
Mailing address:
  • Phone: 316-681-3425
  • Fax: 316-681-3554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal 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