Healthcare Provider Details

I. General information

NPI: 1013827278
Provider Name (Legal Business Name): ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1947 N FOUNDERS CIR STE 100
WICHITA KS
67206-3548
US

IV. Provider business mailing address

1947 NORTH FOUNDERS CIRCLE STE 100
WITCHITA KS
37206
US

V. Phone/Fax

Practice location:
  • Phone: 316-268-8008
  • Fax: 316-274-8963
Mailing address:
  • Phone: 316-268-8008
  • Fax: 316-274-8963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIC GREGORY BEAUPRE
Title or Position: FINANCIAL ANALYST
Credential:
Phone: 901-361-4410