MEDICARE: ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	H081003	KS
2	261QU0200X	Urgent Care Clinic/Center
3	363A00000X	Physician Assistant	H081003	KS
4	207P00000X	Emergency Medicine Physician	H081003	KS
5	103T00000X	Psychologist	H081003	KS
6	208600000X	Surgery Physician	H081003	KS
7	133V00000X	Registered Dietitian	H081003	KS
8	2083X0100X	Occupational Medicine Physician	H081003	KS
9	2084P0800X	Psychiatry Physician	H081003	KS
10	207Q00000X	Family Medicine Physician	H081003	KS
11	207R00000X	Internal Medicine Physician	H081003	KS
12	208D00000X	General Practice Physician	H081003	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144220153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1047
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66505-1047
Country	:	US
Telephone Number	:	785-776-3322
Fax Number	:	785-776-1988

Provider Business Practice Location Address
First Line	:	1823 COLLEGE AVE
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-3381
Country	:	US
Telephone Number	:	785-776-3322
Fax Number	:	785-776-1988

Authorized Official
Title or Position	:	SENIOR ADMINISTRATOR
Name	:	ROBERT COPPLE
Credential	:
Telephone Number	:	785-776-2841

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	09/23/2025

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