| Via Christi Mother Mary Anne Clinic | |
|
1152 S. Clifton Wichita KS 67218-2913 | |
| (316) 689-5121 | |
| (316) 689-5122 |
| Full Name | Via Christi Mother Mary Anne Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1152 S. Clifton, Wichita, Kansas |
| Authorized Official Name and Position | Nancy D Bettis (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3162685266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Via Christi Mother Mary Anne Clinic 1152 S. Clifton Wichita KS 67218-2913 Ph: (316) 689-5121 | Via Christi Mother Mary Anne Clinic 1152 S. Clifton Wichita KS 67218-2913 Ph: (316) 689-5121 |
| NPI Number | 1477692051 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477692051 | NPI | - | NPPES |
| 200452390A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Kansas) | Primary |
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