Substance Abuse at Hunter Health Clinic

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SUBSTANCE ABUSE AT HUNTER HEALTH CLINIC

Practice address

2318 E Central Ave
Wichita, KS 67214-4436

Phone

(316) 262-3611

Fax

(316) 262-0741

NPI assigned

May 3, 2007

Organization subpart

Yes

Parent organization

1376618348As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susette M Schwartz

Title

Ceo

Phone

(316) 262-3611

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Hunter Health Clinic Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1013129204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144436",
            "telephone_number": "316-262-3611",
            "fax_number": "316-262-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144436",
            "telephone_number": "316-262-3611",
            "fax_number": "316-262-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSTANCE ABUSE AT HUNTER HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1376618348",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "SUSETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-262-3611"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212200H",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "116036",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chivukula Subbarao, MD
• Subhash Shah MD PA
• Sublime Home Health Care LLC
• Substance Abuse Assessment Ctr
• Substance Abuse Assessment Ctr
• Jamie D. Subuh, RN, BSN
• Gina Sucher, LSCSW
• Craig Sudbeck, M.D.
• Amber Michelle Kamalei Sudduth, APRN
• Connie Faye Suderman, LSCSW

• Federally Qualified Health Center (FQHC) in Wichita, KS
• Providers in Wichita, KS by specialty
• Federally Qualified Health Center (FQHC) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.