Provider Demographics
NPI:1952593915
Name:ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Entity type:Organization
Organization Name:ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR,PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SUZANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-719-1201
Mailing Address - Street 1:750 N SOCORA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3793
Mailing Address - Country:US
Mailing Address - Phone:316-946-1790
Mailing Address - Fax:
Practice Address - Street 1:750 N SOCORA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3793
Practice Address - Country:US
Practice Address - Phone:316-946-1790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-14
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS10051OtherPHS
KS500073OtherHPK
KS118032OtherBCBS
KS10051OtherPHS