Healthcare Provider Details

I. General information

NPI: 1003802232
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 47257
WICHITA KS
67201-7257
US

V. Phone/Fax

Practice location:
  • Phone: 316-268-6937
  • Fax: 316-291-7897
Mailing address:
  • Phone: 316-268-8131
  • Fax: 316-291-4788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care 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