Provider Demographics
NPI:1568833028
Name:VIA CHRISTI HOME HEALTH WICHITA, LLC
Entity Type:Organization
Organization Name:VIA CHRISTI HOME HEALTH WICHITA, LLC
Other - Org Name:VIA CHRISTI INFUSION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-AHAH
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:K
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-602-9350
Mailing Address - Street 1:528 N SAINT FRANCIS ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3808
Mailing Address - Country:US
Mailing Address - Phone:316-858-2100
Mailing Address - Fax:316-858-2170
Practice Address - Street 1:528 N SAINT FRANCIS ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3808
Practice Address - Country:US
Practice Address - Phone:316-858-2100
Practice Address - Fax:316-858-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy