NPIMap

Organization Active NPI

Healthcore Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
National Provider Identifier
1033218565
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
1033218565 Issued in KS
Legal business name
HEALTHCORE CLINIC INC
Practice address
2707 East 21St Street North
Wichita, KS 67214-2249
Phone
(316) 691-0249
Fax
(316) 691-9939
NPI assigned
Sep 21, 2006
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Ms. Teresa Lovelady
Title
Ceo
Phone
(316) 691-0249

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 1033218565 KS Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 07000887 KS
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 07000882 KS

Addresses

Primary practice location

2707 East 21St Street North
Wichita, KS 67214-2249

Mailing address

2707 East 21St Street North
Wichita, KS 67214-2249
Phone (316) 691-0249

Other names 1

  • Center for Health and Wellness Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000669 KS Part B Supplier - Clinic/Group Practice 9739092131 Receives reassigned benefits from 29 practitioners
Practice locations: Wichita, KS
O20090702000064 KS Part A Provider - Federally Qualified Health Center (FQHC) 9739092131 Practice locations: Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033218565. Details of each certification follow.

Federally qualified health center certification: CCN 171830

Legal name
HEALTHCORE CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 2, 2009
Last certification
Jul 2, 2009
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jun 7, 1996 in KS
Enrollment address
2707 E 21St St N
Wichita, KS 67214-2249

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Teresa Lovelady Individual Corporate OfficerCeo Mar 7, 2011
Corporate DirectorCeo/President Jan 14, 2011 100%
W-2 Managing EmployeeCeo Jan 1, 2011
Operational/Managerial Control Mar 7, 2011

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1033218565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 EAST 21ST STREET NORTH",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142249",
            "telephone_number": "316-691-0249",
            "fax_number": "316-691-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 EAST 21ST STREET NORTH",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142249",
            "telephone_number": "316-691-0249",
            "fax_number": "316-691-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCORE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "LOVELADY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-691-0249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KS",
            "license": "1033218565",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KS",
            "license": "07000887",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "KS",
            "license": "07000882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Health and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.