ASCENSION MEDICAL GROUP VIA CHRISTI PA NPI 1063453991

NPI Information

ASCENSION MEDICAL GROUP VIA CHRISTI, PA is a multi-specialty clinic center in Wichita, KS. ASCENSION MEDICAL GROUP VIA CHRISTI, PA NPI is 1063453991. The provider is registered as an organization entity type.

The provider's business location address is:

3311 E MURDOCK ST
WICHITA, KS
ZIP 67208
Phone: (316) 689-9135
Fax: (316) 689-9102

The provider's authorized official is Suzann M Wright .
The authorized official title is Director,patient Financial Services and has the following contact phone number (316) 719-1201.

The CLIA number assigned to this NPI record is 17D2056569 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 6/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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