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	275N00000X	Medicare Defined Swing Bed Hospital Unit	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
2	001289	OTHER	KS	BLUE CROSS

General Provider Information

NPI Number	:	1679572721
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	:	CEO
Name	:	MR. ROBERT COPPLE
Credential	:
Telephone Number	:	785-776-2841

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	03/26/2019

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