Healthcare Provider Details

I. General information

NPI: 1952593915
Provider Name (Legal Business Name): ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 N SOCORA ST SUITE 100
WICHITA KS
67212-3793
US

IV. Provider business mailing address

750 N SOCORA ST SUITE 100
WICHITA KS
67212-3793
US

V. Phone/Fax

Practice location:
  • Phone: 316-946-1790
  • Fax:
Mailing address:
  • Phone: 316-946-1790
  • Fax:

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