=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174132161
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASCENSION VIA CHRISTI HOSPITALS WICHITA INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2020
-----------------------------------------------------
Last Update Date | 07/27/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3600 E HARRY ST RM 2001
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67218-3713
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-681-6611
-----------------------------------------------------
Fax | 316-681-6617
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3600 E HARRY ST RM 2001
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67218-3713
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-681-6611
-----------------------------------------------------
Fax | 316-681-6617
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ROBYN CHADWICK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 316-796-7812
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------