Covered Entity Details

DSH170122AY Ascension Via Christi Hospitals Wichita, Inc (Active) - information as of 6/27/2025 12:31:20 AM

Main Details

Name

Ascension Via Christi Hospitals Wichita, Inc

Subdivision Name

Ascension Via Christi Hospitals Wichita, Inc. - Community Cares

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH170122AY

Medicare Provider Number

170122

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

4/1/2020

Participating Start Date

7/1/2020

Participating Approval Date

4/8/2020

Last Recertification Date

8/15/2024

Contacts

Authorizing Official

Ascension Via Christi
Todd Schroeder, VP Pharmacy
(316) 268-5580

Primary Contact

Ascension Via Christi
Julie Thatcher, 340B Program Director
(316) 202-8189

Addresses

Street Address

707 N EMPORIA
WICHITA, KS 67214

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
KS	30003933260049	1154314789,1871589333

Shipping Addresses

Shipping Address 1

Ascension Via Christi Hospital
Pharmacy Department
929 N. St. Francis
Wichita, KS 67214

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH170122A	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC ACU	3600 East Harry	Wichita	KS	Active
DSH170122AA	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Specialty Clinic Psych	1515 South Clifton Ave	WICHITA	KS	Terminated
DSH170122AB	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	Wound Care	848 N. St. Francis	Wichita	KS	Active
DSH170122AC	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	Transitional Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AD	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Pediatric Surgery Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AE	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Surgery Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AF	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Asthma Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AG	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Specialty Clinic Sports	707 N EMPORIA	WICHITA	KS	Active
DSH170122AH	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Pediatric Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AJ	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Ortho Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AK	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Osteopathic Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AL	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Muscular Dystrophy Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AM	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Cystic Fibrosis Clinic	707 N EMPORIA	WICHITA	KS	Active
DSH170122AN	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	Saint Francis / Ambulatory Infusion Center	929 N. St. Francis	Wichita	KS	Active
DSH170122AP	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA INC - BHS Partial Day Hospital	1515 S CLIFTON AVE	WICHITA	KS	Active
DSH170122AQ	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA INC - BHS Adolescent Partial Day	1515 S CLIFTON AVE	WICHITA	KS	Active
DSH170122AR	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ST JOSEPH CAMPUS - Medical 5E VCH SJ	3600 E HARRY ST	WICHITA	KS	Active
DSH170122AS	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	Special Procedures - Wound Care (Burn Clinic)	848 N. St. Francis	Wichita	KS	Active
DSH170122AT	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA INC - Radiation Oncology	817 N EMPORIA ST	WICHITA	KS	Active
DSH170122AU	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ST JOSEPH CAMPUS - Psychiatric Nursing Unit	3600 E HARRY ST	WICHITA	KS	Active
DSH170122AV	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ST JOSEPH CAMPUS - Cardiology Unit, Outpatient Observation Beds	3600 E HARRY ST	WICHITA	KS	Active
DSH170122AW	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ST JOSEPH CAMPUS - Adult Psychiatry ICU, Outpatient Observation Beds	3600 E HARRY ST	WICHITA	KS	Active
DSH170122AX	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ST JOSEPH CAMPUS - LDRP, Outpatient Observation Beds	3600 E HARRY ST	WICHITA	KS	Active
DSH170122AY	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	Ascension Via Christi Hospitals Wichita, Inc. - Community Cares	707 N EMPORIA	WICHITA	KS	Active
DSH170122AZ	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	31625 Emergency Department 025 - Emergency	1323 N A ST	WELLINGTON	KS	Active
DSH170122B	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC AIC	3600 East Harry	Wichita	KS	Terminated
DSH170122BA	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	18357 Infusion Services COVID19 001 - Intravenous Therapy	848 N. St. Francis	Wichita	KS	Active
DSH170122BB	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ASCENSION VIA CHRISTI HOSPITALS INC - Pharmacotherapy Clinic	707 N EMPORIA ST	WICHITA	KS	Active
DSH170122BC	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ASCENSION VIA HOSP WICHI INC - Endocrinologist	1515 S CLIFTON AVE STE 205	WICHITA	KS	Active
DSH170122BD	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ASCENSION VIA HOSP WICHI INC - Rheumatology	1515 S CLIFTON AVE STE 205	WICHITA	KS	Active
DSH170122BE	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ASCENSION VIA HOSP WICHI INC - Stroke Clinic	707 N EMPORIA ST	WICHITA	KS	Active
DSH170122BF	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ASCENSION VIA CHRISTI HOSPITAL WICHITA, INC. - INFUSION CENTER CLIFTON	1515 S CLIFTON	WICHITA	KS	Active
DSH170122BG	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	ASCENSION VIA HOSP WICHI INC - Cardiology	818 N EMPORIA ST	WICHITA	KS	Approved
DSH170122C	Child	DSH	Via Christi Hospitals Wichita, Inc	SJC Anesthesia	3600 East Harry	Wichita	KS	Terminated
DSH170122D	Child	DSH	Via Christi Hospitals Wichita, Inc	SJC CHF Clinic	3600 East Harry	Wichita	KS	Terminated
DSH170122E	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC CT Scan	3600 East Harry	Wichita	KS	Active
DSH170122F	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Diag Radiology	3600 East Harry	Wichita	KS	Active
DSH170122G	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Dialysis-	3600 East Harry	Wichita	KS	Active
DSH170122H	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC EchoCardiology	3600 East Harry	Wichita	KS	Active
DSH170122J	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC ED Services	3600 East Harry	Wichita	KS	Active
DSH170122K	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC MRI	3600 East Harry	Wichita	KS	Active
DSH170122L	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Neurodiagnostics	3600 East Harry	Wichita	KS	Active
DSH170122M	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Nuclear Card	3600 East Harry	Wichita	KS	Terminated
DSH170122N	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Nuclear Med	3600 East Harry	Wichita	KS	Active
DSH170122P	Child	DSH	Via Christi Hospitals Wichita, Inc	SJC Post Operative	3600 East Harry	Wichita	KS	Terminated
DSH170122Q	Child	DSH	Via Christi Hospitals Wichita, Inc	SJC Rad Therapy	3600 East Harry	Wichita	KS	Terminated
DSH170122R	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Forensic Nursing Services	3600 East Harry	Wichita	KS	Active
DSH170122T	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Special Proc	3600 East Harry	Wichita	KS	Active
DSH170122U	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Surgery/OR	3600 East Harry	Wichita	KS	Active
DSH170122V	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	SJC Ultrasound	3600 East Harry	Wichita	KS	Active
DSH170122W	Child	DSH	Via Christi Hospitals Wichita, Inc	SJC Vascular Lab	3600 East Harry	Wichita	KS	Terminated
DSH170122X	Child	DSH	VIA CHRISTI HOSPITAL WICHITA	VIA CHRISTI HOSPITALS WICHITA INC / VC CHF Clinic	848 N ST FRANCIS STE 1900	WICHITA	KS	Terminated
DSH170122Y	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Family Practice Clinic	1121 S CLIFTON AVE	WICHITA	KS	Active
DSH170122Z	Child	DSH	Ascension Via Christi Hospitals Wichita, Inc	VIA CHRISTI HOSPITALS WICHITA, INC. / Family Practice Clinic	707 N EMPORIA	WICHITA	KS	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Profile Change Request	Thatcher, Julie 340B Program Director Ascension Via Christi 3168412122	Thatcher, Julie 340B Program Director Ascension Via Christi 3162028189	6/19/2025 6:21 PM
Contacts	Primary Contact	Update	Group Change Request	Dodson, Sarah E 340B Program Director Ascension Via Christi Hospitals Wichita, Inc. 3162028759	Thatcher, Julie 340B Program Director Ascension Via Christi 3168412122	6/18/2025 11:23 AM
Details	Last Recertification Date	Update	Recertification	8/28/2023 12:40:06 PM	8/15/2024 2:22:10 PM	8/15/2024 2:22 PM
Contacts	Primary Contact	Update	Profile Change Request	Dodson, Sarah E 340B Program Director Ascension Via Christi Hospitals Wichita, Inc. 6202357965	Dodson, Sarah E 340B Program Director Ascension Via Christi Hospitals Wichita, Inc. 3162028759	8/13/2024 1:16 PM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	100695200A (OK)		3/4/2024 1:00 PM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	100695200I (OK)		3/4/2024 1:00 PM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1154314789 (OK)		3/4/2024 1:00 PM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1871589333 (OK)		3/4/2024 1:00 PM
Contacts	Authorizing Official	Update	AO Change Request	Antonios, Samer CCO Ascension.org 3162685865	Schroeder, Todd VP Pharmacy Ascension Via Christi 3162685580	1/12/2024 1:54 PM
Details	Last Recertification Date	Update	Recertification	8/31/2022 11:40:20 AM	8/28/2023 12:40:06 PM	8/28/2023 12:40 PM
Contacts	Authorizing Official	Update	AO Change Request	Garrelts, Jim C Vice President, Pharmacy Via Christi Hospitals Wichita, Inc 3162685580	Antonios, Samer CCO Ascension.org 3162685865	8/10/2023 5:32 PM
Addresses	Main Address	Update	Group Change Request	848 N. St. Francis Wichita, KS 67214	707 N EMPORIA WICHITA, KS 67214	12/21/2022 8:44 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	30003933260053 (KS)		12/21/2022 8:44 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	12/21/2022 8:44 AM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		30003933260049	12/21/2022 8:44 AM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		KS	12/21/2022 8:44 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	100080640B (KS)		10/31/2022 10:54 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	100080640D (KS)		10/31/2022 10:54 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	100186350N (KS)		10/31/2022 10:54 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	10/31/2022 10:54 AM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		30003933260053	10/31/2022 10:54 AM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		KS	10/31/2022 10:54 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1700129699 (KS)		10/31/2022 10:54 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1700129699 (OK)		10/31/2022 10:54 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1174132161 (KS)		10/31/2022 10:54 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1174132161 (OK)		10/31/2022 10:54 AM
Details	Last Recertification Date	Update	Recertification	8/30/2021 3:14:03 PM	8/31/2022 11:40:20 AM	8/31/2022 11:40 AM
Contacts	Primary Contact	Update	PC Change Request	Allison-Westlake, Rhonda 340b coordinator Via Christi Hospitals, Wichita, Inc 3162685074	Dodson, Sarah E 340B Program Director Ascension Via Christi Hospitals Wichita, Inc. 6202357965	6/30/2022 9:36 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/21/2022 10:08 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		100186350N	3/21/2022 10:08 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		KS	3/21/2022 10:08 AM
Contacts	Primary Contact	Update	Group Change Request	Dodson, Sarah E 340B Program Director Ascension Via Christi Hospitals Wichita, Inc. 6202357965	Allison-Westlake, Rhonda 340b coordinator Via Christi Hospitals, Wichita, Inc 3162685074	1/31/2022 11:55 AM
Details	Last Recertification Date	Update	Recertification	8/27/2020 8:53:19 AM	8/30/2021 3:14:03 PM	8/30/2021 3:14 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1174132161	9/8/2020 10:13 AM
Medicaid Billing	NPI: State	Insert	Change Request		KS	9/8/2020 10:13 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1174132161	9/8/2020 10:13 AM
Medicaid Billing	NPI: State	Insert	Change Request		OK	9/8/2020 10:13 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1154314789 ( )		8/27/2020 8:53 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1871589333 ( )		8/27/2020 8:53 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1700129699 ( )		8/27/2020 8:53 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1154314789	8/27/2020 8:53 AM
Medicaid Billing	NPI: State	Insert	Recertification		KS	8/27/2020 8:53 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1700129699	8/27/2020 8:53 AM
Medicaid Billing	NPI: State	Insert	Recertification		KS	8/27/2020 8:53 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1871589333	8/27/2020 8:53 AM
Medicaid Billing	NPI: State	Insert	Recertification		KS	8/27/2020 8:53 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1154314789	8/27/2020 8:53 AM
Medicaid Billing	NPI: State	Insert	Recertification		OK	8/27/2020 8:53 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1700129699	8/27/2020 8:53 AM
Medicaid Billing	NPI: State	Insert	Recertification		OK	8/27/2020 8:53 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1871589333	8/27/2020 8:53 AM
Medicaid Billing	NPI: State	Insert	Recertification		OK	8/27/2020 8:53 AM
Details	Last Recertification Date	Update	Recertification		8/27/2020 8:53:19 AM	8/27/2020 8:53 AM
Contacts	Primary Contact	Update	Profile Change Request	Dodson, Sarah E 340B Program Coordinator Ascension Via Christi Hospitals Wichita, Inc. 6202357965	Dodson, Sarah E 340B Program Director Ascension Via Christi Hospitals Wichita, Inc. 6202357965	7/24/2020 12:41 PM
Details	State	Update		Approved	Active	7/1/2020 12:00 AM
Contacts	Signed By	Insert	New Registration		Garrelts, Jim C Vice President, Pharmacy Via Christi Hospitals Wichita, Inc 3162685580	4/8/2020 4:42 PM
Details	340B ID	Update	New Registration		DSH170122AY	4/8/2020 4:42 PM
Details	Entity Name	Update	New Registration	VIA CHRISTI HOSPITAL WICHITA	Ascension Via Christi Hospitals Wichita, Inc	4/8/2020 4:42 PM
Details	Entity Subname	Update	New Registration	Ascension Via Christi Hospitals Wichita, Inc.	Ascension Via Christi Hospitals Wichita, Inc. - Community Cares	4/8/2020 4:42 PM
Dates	Participating Approval Date	Update	New Registration		4/8/2020 4:42:35 PM	4/8/2020 4:42 PM
Details	State	Update	New Registration	Pending	Approved	4/8/2020 4:42 PM
Dates	Signed By Date	Update	New Registration		4/2/2020 2:40:06 PM	4/8/2020 4:42 PM
Dates	Start Date	Update	New Registration		7/1/2020 12:00:00 AM	4/8/2020 4:42 PM
Addresses	Main Address	Insert	New Registration		848 N. St. Francis Wichita, KS 67214	4/1/2020 12:26 PM
Addresses	Shipping Address	Insert	New Registration		Ascension Via Christi Hospital Pharmacy Department 929 N. St. Francis Wichita, KS 67214	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		100080640B	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		KS	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		100080640D	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		KS	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		100695200A	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		OK	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		100695200I	4/1/2020 12:26 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		OK	4/1/2020 12:26 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1154314789	4/1/2020 12:26 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1871589333	4/1/2020 12:26 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1700129699	4/1/2020 12:26 PM
Contacts	Authorizing Official	Insert	New Registration		Garrelts, Jim C Vice President, Pharmacy Via Christi Hospitals Wichita, Inc 3162685580	4/1/2020 12:26 PM
Contacts	Primary Contact	Insert	New Registration		Dodson, Sarah E 340B Program Coordinator Ascension Via Christi Hospitals Wichita, Inc. 6202357965	4/1/2020 12:26 PM
Details	Last Recertification Date	Insert	New Registration			4/1/2020 12:26 PM
Details	Grant Number	Insert	New Registration			4/1/2020 12:26 PM
Details	340B ID	Insert	New Registration			4/1/2020 12:26 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/1/2020 12:26 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/1/2020 12:26 PM
Details	Medicare Provider Number	Insert	New Registration		170122	4/1/2020 12:26 PM
Details	Entity Name	Insert	New Registration		VIA CHRISTI HOSPITAL WICHITA	4/1/2020 12:26 PM
Details	Program Code	Insert	New Registration		DSH	4/1/2020 12:26 PM
Details	Entity Subname	Insert	New Registration		Ascension Via Christi Hospitals Wichita, Inc.	4/1/2020 12:26 PM
Dates	Participating Approval Date	Insert	New Registration			4/1/2020 12:26 PM
Details	State	Insert	New Registration		Pending	4/1/2020 12:26 PM
Dates	Registration Date	Insert	New Registration		4/1/2020 12:26:53 PM	4/1/2020 12:26 PM
Dates	Signed By Date	Insert	New Registration			4/1/2020 12:26 PM
Dates	Start Date	Insert	New Registration			4/1/2020 12:26 PM
Terminations	Termination Comments	Insert	New Registration			4/1/2020 12:26 PM
Terminations	Termination Date	Insert	New Registration			4/1/2020 12:26 PM
Terminations	Termination Effective Date	Insert	New Registration			4/1/2020 12:26 PM
Terminations	Termination Reason	Insert	New Registration			4/1/2020 12:26 PM