Active NPI
Hunter Health Clinic, Inc
- Federally Qualified Health Center (FQHC)
- Wichita, KS
National Provider Identifier
1265508337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HUNTER HEALTH CLINIC, INC
- Practice address
- 238 N Waco St
Wichita, KS 67202-1108 - Phone
- (316) 303-9595
- Fax
- (316) 303-9788
- NPI assigned
- Nov 28, 2006
- Organization subpart
- Yes
- Parent organization
- 1376618348
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | KS | Primary |
Addresses
Primary practice location
238 N Waco St
Wichita, KS 67202-1108
Mailing address
2318 E Central Ave
Wichita, KS 67214-4436
Phone (316) 262-3611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003947 | Other | KS | BCBS GROUP |
| 100212200G | Medicaid | KS |
Other names 1
- HHC Diabetic Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
Federally qualified health center certification: CCN 171826
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- HUNTER HEALTH CLINIC, INC-DIABETIC CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 22, 2009
- Last certification
- Jan 22, 2009
- Ownership / control type
- For profit – corporation
- Facility address
- 238 N Waco
Wichita, KS 67202
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Wichita, KS
- NPI 1376618348
O20040220001001
-
- Federally Qualified Health Center (FQHC)
- Wichita, KS
- NPI 1053487579
O20040220001001
-
- Federally Qualified Health Center (FQHC)
- Wichita, KS
- NPI 1174690796
O20040220001001
-
- Federally Qualified Health Center (FQHC)
- Wichita, KS
- NPI 1396809547
O20040220001001
-
- Federally Qualified Health Center (FQHC)
- Wichita, KS
- NPI 1841759453
O20040220001001
National Provider Directory
National Provider Directory- Part of
- Hunter Health Clinic Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310688000000",
"number": "1265508337",
"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": "238 N WACO ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672021108",
"telephone_number": "316-303-9595",
"fax_number": "316-303-9788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTER HEALTH CLINIC, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "1376618348",
"enumeration_date": "2006-11-28",
"last_updated": "2011-07-15",
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "003947",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100212200G",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HHC Diabetic Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.