| Via Christi Specialty Clinics | |
|
707 N Emporia St Wichita KS 67214-3707 | |
| (316) 858-3470 | |
| (316) 858-3458 |
| Full Name | Via Christi Specialty Clinics |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 707 N Emporia St, Wichita, Kansas |
| Authorized Official Name and Position | Laurie A Labarca (COO) |
| Authorized Official Contact | 3162685161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Via Christi Specialty Clinics Po Box 1897 Wichita KS 67201-1897 Ph: (316) 268-8131 | Via Christi Specialty Clinics 707 N Emporia St Wichita KS 67214-3707 Ph: (316) 858-3470 |
| NPI Number | 1457671398 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457671398 | NPI | - | NPPES |
| 100080640D | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kansas) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | (Kansas) | Primary |
| 208000000X | Pediatrics | (Kansas) | Secondary |
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