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NPI Code Detail

MEDICARE: ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC.

MEDICARE: ASCENSION VIA CHRISTI HOSPITAL ST TERESA 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
1273Y00000XRehabilitation Hospital UnitH087109KS

General Provider Information

NPI Number : 1255699344
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC.
Provider Business Mailing Address
First Line : 14800 W SAINT TERESA ST
Second Line :
City : WICHITA
State : KS
Zip : 67235-9602
Country : US
Telephone Number : 316-796-7802
Fax Number :
Provider Business Practice Location Address
First Line : 14800 W SAINT TERESA ST
Second Line :
City : WICHITA
State : KS
Zip : 67235-9602
Country : US
Telephone Number : 316-796-7000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. KEVIN STRECKER
Credential :
Telephone Number : 316-796-7802
Provider Enumeration Date : 04/26/2012
Last Update Date : 03/26/2019

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