Healthcare Provider Details

I. General information

NPI: 1902893415
Provider Name (Legal Business Name): ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 03/26/2019
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 47887
WICHITA KS
67201-7887
US

V. Phone/Fax

Practice location:
  • Phone: 316-268-5000
  • Fax: 316-291-7982
Mailing address:
  • Phone: 316-268-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHEAL MCCULLOUGH
Title or Position: CFO
Credential:
Phone: 316-858-4933