VIA CHRISTI IMMEDIATE CARE, MOTHER MARY ANNE INC.


Address: 1152 S. Clifton, Wichita, KS 67218-2913
Phone: 3166895121

VIA CHRISTI IMMEDIATE CARE, MOTHER MARY ANNE INC. (NPI# 1477692051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477692051
Entity Type Organization
Organization Name VIA CHRISTI IMMEDIATE CARE, MOTHER MARY ANNE INC.
Other Organization Name VIA CHRISTI MOTHER MARY ANNE CLINIC
Practice Address 1152 S. Clifton
Wichita
KS 67218-2913
Practice Telephone 3166895121
Practice Fax Number 3166895122
Mailing Telephone 3166895121
Mailing Fax Number 3166895122
Enumeration Date 2007-02-06
Last Update Date 2010-07-22
Authorized Official Name MS. NANCY D BETTIS (CREDENTIALING SPECIALIST)
Authorized Official Telephone 3162685266
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center KS Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KS 200452390A 05

Other Provider/Organization Names

Other Name Type Code
Via Christi Mother Mary Anne Clinic Doing Business As Name - Organization

Office Location

Street Address 1152 S. CLIFTON
City WICHITA
State KS
Zip Code 67218-2913

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1528124435 Wheeler Chiropractic & Acupuncture Clinic, LLC Clinic/Center 1125 S Rock Rd Ste 7, Wichita, KS 67207-3300 2006-12-28
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1154708782 Wichita Endocrinology, LLC Clinic/Center 1515 S Clifton Ave, Suite 103, Wichita, KS 67218-2900 2015-05-04
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Competitor

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City WICHITA
Zip Code 67218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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