Organization Active NPI

Hunter Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
National Provider Identifier
1265508337
Registry record updated Jul 15, 2011
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
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
1376618348As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003947OtherKSBCBS GROUP
100212200GMedicaidKS

Other names 1

  • HHC Diabetic Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

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

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.

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

Verify at the official NPI Registry.