Healthcare Provider Details

I. General information

NPI: 1417967365
Provider Name (Legal Business Name): ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 N CARRIAGE PKWY
WICHITA KS
67208-4511
US

IV. Provider business mailing address

PO BOX 8035
WICHITA KS
67208-0035
US

V. Phone/Fax

Practice location:
  • Phone: 316-651-2250
  • Fax: 316-685-9391
Mailing address:
  • Phone: 316-689-9135
  • Fax: 316-689-9102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUZANN M WRIGHT
Title or Position: DIRECTOR,PATIENT FINANCIAL SERVICES
Credential:
Phone: 316-719-1201