Provider Demographics
NPI:1396856985
Name:ASCENSION VIA CHRISTI HOSPITAL PITTSBURG, INC
Entity Type:Organization
Organization Name:ASCENSION VIA CHRISTI HOSPITAL PITTSBURG, INC
Other - Org Name:ASCENSION VIA CHRISTI HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-858-2112
Mailing Address - Street 1:2711 S ROUSE ST STE E
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-6621
Mailing Address - Country:US
Mailing Address - Phone:620-235-0327
Mailing Address - Fax:620-235-0773
Practice Address - Street 1:2711 S ROUSE ST STE E
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6621
Practice Address - Country:US
Practice Address - Phone:620-235-0327
Practice Address - Fax:620-235-0773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
KS16-00083332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0240670001Medicare NSC
0240670001Medicare NSC