NPI 1568670453

Via Christi Healthcare Outreach Program for the Elderly, INC.

Organisation PACE Provider Organization Wichita, KS

Practice location

Address: 2622 W Central Ave, Wichita, KS 67203-4902
Phone: (316) 858-1111

Authorised official

Name: Kent Edward Shank
Title: Director of Finance
Phone: (316) 946-5107

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence H1714 (KS)

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Registry record

NPI: 1568670453
Entity type: Organization
NPI issued: 21 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.