| Ascension Via Christi Occupational & Immediate Care | |
|
501 N Maize Rd Wichita KS 67212 | |
| (316) 721-5000 | |
| (316) 721-6604 |
| Full Name | Ascension Via Christi Occupational & Immediate Care |
|---|---|
| Speciality | Family Medicine |
| Location | 501 N Maize Rd, Wichita, Kansas |
| Authorized Official Name and Position | Michael Mccullough (CFO) |
| Authorized Official Contact | 3168584933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Via Christi Occupational & Immediate Care 1151 N Rock Road Wichita KS 67206 Ph: (316) 634-3400 | Ascension Via Christi Occupational & Immediate Care 501 N Maize Rd Wichita KS 67212 Ph: (316) 721-5000 |
| NPI Number | 1477504645 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 03/26/2019 |
| Medicare PECOS PAC ID | 2062433956 |
|---|---|
| Medicare Enrollment ID | O20051207000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477504645 | NPI | - | NPPES |
| 111008 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Phillip D Challans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790780831 PECOS PAC ID: 9335113430 Enrollment ID: I20040824001008 |
| Provider Name | Brenda Hendrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114041209 PECOS PAC ID: 3779523048 Enrollment ID: I20050505000675 |
| Provider Name | Sheryl M Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669468328 PECOS PAC ID: 0244266526 Enrollment ID: I20050711000089 |
| Provider Name | Val Jean Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518066026 PECOS PAC ID: 4385650647 Enrollment ID: I20060224000161 |
| Provider Name | Emily Renee Kittle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639186471 PECOS PAC ID: 6103956677 Enrollment ID: I20100609000706 |
| Provider Name | Robin D Burbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730557141 PECOS PAC ID: 9335457019 Enrollment ID: I20150929002733 |
| Provider Name | Krista D Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013372671 PECOS PAC ID: 8729381405 Enrollment ID: I20160129002291 |
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