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General NPI Number Information
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NPI Number | 1972701241
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Entity Type | Organization
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Legal Business Name | VIA CHRISTI VILLAGE MCLEAN, INC
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 777 N MCLEAN BLVD
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City | WICHITA
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State | KS
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Zip | 67203-4980
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Country | US
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Telephone | 316-942-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 777 N MCLEAN BLVD
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City | WICHITA
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State | KS
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Zip | 67203-4980
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Country | US
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Telephone | 316-942-7000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERIN SHADBOLT
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Credential |
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Telephone | 314-729-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | N087056
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | N087056
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License Number State | KS
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