Hunter Health Clinic, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HUNTER HEALTH CLINIC, INC

Doing business as

HHC at Wichita Child Guidance Center

Practice address

415 N Poplar Ave
Wichita, KS 67214-4529

Phone

(316) 686-6671

Fax

(316) 686-1094

NPI assigned

Dec 21, 2006

Last updated

Jan 7, 2009By the provider in NPPES

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

Other names 1

• HHC at Wichita Child Guidance Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396809547. Details of each certification follow.

• CCN 171819 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 171819

Legal name

WICHITA CHLD GUIDANCE CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 18, 2002

Last certification

Sep 18, 2002

Ownership / control type

For profit – partnership

Facility address

415 N Poplar
Wichita, KS 67214

Other NPIs on the same Medicare enrollment 5

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

• Hunter Health Clinic Inc

  dba Main

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1376618348

  O20040220001001

  Same enrollment
• Hunter Health Clinic, Inc

  dba Hunter Health Clinic at Brookside

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1053487579

  O20040220001001

  Same enrollment
• Hunter Health Clinic, Inc

  dba Inter-Faith Ministries

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1174690796

  O20040220001001

  Same enrollment
• Hunter Health Clinic, Inc

  dba HHC Diabetic Care Center

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1265508337

  O20040220001001

  Same enrollment
• Hunter Health Clinic, Inc

  dba Hunter Health At Open Door

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1841759453

  O20040220001001

  Same enrollment

Part of

The Hunter Health Clinic in

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1396809547",
    "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": "415 N POPLAR AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144529",
            "telephone_number": "316-686-6671",
            "fax_number": "316-686-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTER HEALTH CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1376618348",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-01-07",
        "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": "NPI",
            "identifier": "1396809547",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212200E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HHC at Wichita Child Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunter Health Clinic Inc (Hunter Health Community Pharmacy)
• Hunter Health Clinic, Inc (Hunter Health Clinic at Brookside)
• Hunter Health Clinic, Inc (Hunter Health Clinic Laboratory)
• Hunter Health Clinic, Inc (Inter-Faith Ministries)
• Hunter Health Clinic, Inc (HHC Diabetic Care Center)
• Hunter Health Clinic, Inc (Hunter Health At Open Door)
• Denise Michelle Hunter-Mitchell, LMSW
• Debra Hunter, RN
• Heather Ann Hunter
• Jacob Jordan Hunter, MD

• 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 Jan 7, 2009; 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.

Verify at the official NPI Registry.