ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC; NPI #1649215047

Contact Information

ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC

2601 CENTRAL AVE
DODGE CITY, KS 67801-6200

Phone: 620-227-7080
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Parenteral & Enteral Nutrition	332BP3500X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC

NPI Number 1649215047

LBN Legal business name ASCENSION VIA CHRISTI HOME MEDICAL WICHITA, LLC

Authorized official DEANA HAYNES - (SENIOR DIRECTOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/19/2006

Last updated 06/18/2019 - About 7 years ago

Identifiers

KS	Medicaid	100444290A
KS	Other	48489	BLUE CROSS/BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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