NPIMap

Organization Active NPI

Hunter Health Clinic, Inc

Doing business as Inter-Faith Ministries

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
National Provider Identifier
1174690796
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HUNTER HEALTH CLINIC, INC
Doing business as
Inter-Faith Ministries
Practice address
935 N Market St
Wichita, KS 67214-3521
Phone
(316) 858-1151
Fax
(316) 858-1152
NPI assigned
Nov 29, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
1376618348As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Ronald Saal
Title
Cfo
Phone
(316) 262-2415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X KS Primary

Addresses

Primary practice location

935 N Market St
Wichita, KS 67214-3521

Mailing address

2318 E Central Ave
Wichita, KS 67214-4436
Phone (316) 262-2415

Other names 1

  • Inter-Faith Ministries Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hunterhealth@khindirect.org Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040220001001 KS Part B Supplier - Clinic/Group Practice 5193632941 Receives reassigned benefits from 25 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wichita, KS
O20081008000645 KS Part A Provider - Federally Qualified Health Center (FQHC) 5193632941 Practice locations: Wichita, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174690796. Details of each certification follow.

Federally qualified health center certification: CCN 171827

Legal name
HUNTER HEALTH CLINIC INC
Doing business as
INTER-FAITH MINISTRIES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 22, 2009
Last certification
Jan 22, 2009
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jun 4, 1980 in KS
Enrollment address
935 N Market St
Wichita, KS 67214-3521

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0937042Hunter Health Clinic at Interfaith Min935 North Market St, Wichita, KS 67214Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hunter Health Clinic Inc2 organizations share this tax ID, including this one
Part of
Hunter Health Clinic Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

527 N Grove St
Wichita, KS 67214
Phone (316) 262-2415

935 N Market St
Wichita, KS 67214
Phone (316) 858-1151

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Todd Smalley Individual Corporate OfficerBoard Member Mar 16, 2017
Michael Herbert Individual Corporate OfficerBoard Member Mar 16, 2017
Rachel White Individual Corporate Officer May 17, 2018
Timothy Bobb Individual Corporate Officer Aug 27, 2020
Chantal Nez Individual Corporate Officer Jan 1, 2022
Melinda Ware Individual Corporate Officer Oct 25, 2018
Jessica Velez Individual W-2 Managing Employee Feb 15, 2022
Amy E. Feimer Individual Corporate DirectorChief Executive Officer Feb 8, 2016 100%
W-2 Managing EmployeeChief Executive Officer Feb 8, 2016 100%

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1174690796",
    "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": "316-262-2415",
            "fax_number": "316-262-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 N MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143521",
            "telephone_number": "316-858-1151",
            "fax_number": "316-858-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTER HEALTH CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1376618348",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "SAAL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "316-262-2415"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hunterhealth@khindirect.org",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "935 N Market St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Inter-Faith Ministries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.