HUNTER HEALTH CLINIC, INC (NPI# 1053487579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053487579 |
| Entity Type | Organization |
| Organization Name | HUNTER HEALTH CLINIC, INC |
| Other Organization Name | BROOKSIDE SATELLITE OF HUNTER |
| Practice Address |
2750 S Roosevelt St Wichita KS 67210-1304 |
| Mailing Address |
2318 E Central Ave Wichita KS 67214-4436 |
| Practice Telephone | 3166520152 |
| Practice Fax Number | 3166520928 |
| Mailing Telephone | 3162623611 |
| Mailing Fax Number | 3162620741 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2011-09-12 |
| Authorized Official Name | SUSETTE M SCHWARTZ (CEO) |
| Authorized Official Telephone | 3162623611 |
| Is Organization Subpart | Y |
| Parent Organization Name | 1376618348 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100212200C | 05 | |
| KS | BCBS GROUP | 003947 | 01 |
| Other Name | Type Code |
|---|---|
| BROOKSIDE SATELLITE OF HUNTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174690796 | Hunter Health Clinic, Inc | Clinic/Center | 935 N Market St, Wichita, KS 67214-3521 | 2006-11-29 |
| 1265508337 | Hunter Health Clinic, Inc | Clinic/Center | 238 N Waco St, Wichita, KS 67202-1108 | 2006-11-28 |
| 1841759453 | Hunter Health Clinic, Inc | Clinic/Center | 402 E 2nd St N, Wichita, KS 67202-2504 | 2019-03-14 |
| 1396809547 | Hunter Health Clinic, Inc | Clinic/Center | 415 N Poplar Ave, Wichita, KS 67214-4529 | 2006-12-21 |
| 1093882276 | Hunter Health Clinic, Inc | Clinical Medical Laboratory | 2318 E Central Ave, Wichita, KS 67214-4436 | 2006-11-30 |
| Street Address |
2750 S ROOSEVELT ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67210-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730288861 | Kathryn S. Wolfe-wappelhorst | Physician Assistant | 2750 S Roosevelt St, Hunter Health Brookside Clinic, Wichita, KS 67210-1304 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043503642 | Allegiance Home Care Services, Inc | In Home Supportive Care | 8527 E Creed St, Wichita, KS 67210 | 2011-05-16 |
| 1780892604 | Carrie Dawn Couture | Social Worker | 4505 E 47th St. South, Wichita, KS 67210 | 2007-05-21 |
| 1174003412 | Susan Sun | Acupuncturist | 2415 S Glendale St, Wichita, KS 67210-1202 | 2018-08-16 |
| 1659547479 | Lueke B Lueken | Obstetrics & Gynecology | 2760 S Roosevelt St, Wichita, KS 67210-1304 | 2008-05-01 |
| 1912999020 | Cynthia Marie Pinkerton | Nurse Practitioner | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2005-08-16 |
| 1730575069 | Gracemed Health Clinic, Inc | Clinic/Center | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2015-04-14 |
| 1871888248 | Delane Vaughn | Family Medicine | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2011-06-14 |
| 1427253921 | Devin Wesley Penny | Family Medicine | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2007-06-15 |
| 1528024742 | Healthy Options for Planeview | Dentist | 3620 E Sunnybrook Ln, Suite C, Wichita, KS 67210-1464 | 2006-04-25 |
| 1518287465 | Nancy Lynn Ross | Social Worker | 3620 E Sunnybrook Ln, Suite C, Wichita, KS 67210-1464 | 2010-06-02 |
| Find all providers in zip 67210 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1992113898 | Gracemed Health Clinic, Inc | Clinic/Center | 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 | 2014-07-24 |
| 1043646870 | Gracemed Downing Children Clinic | Clinic/Center | 2201 E 25th St N, Building 200, Wichita, KS 67219-4714 | 2013-09-25 |
| 1356777114 | Gracemed Healthy Family Clinic | Clinic/Center | 1905 S Laura St, Wichita, KS 67211-4422 | 2013-09-24 |
| 1912333774 | Gracemed Evergreen Family Clinic | Clinic/Center | 2700 N Woodland St, Wichita, KS 67204-5158 | 2013-09-24 |
| 1952651713 | Gracemed Health Clinic, Inc | Clinic/Center | 4910 W 1st St N, Wichita, KS 67212-2341 | 2012-09-19 |
| 1174690796 | Hunter Health Clinic, Inc | Clinic/Center | 935 N Market St, Wichita, KS 67214-3521 | 2006-11-29 |
| 1265508337 | Hunter Health Clinic, Inc | Clinic/Center | 238 N Waco St, Wichita, KS 67202-1108 | 2006-11-28 |
| 1841759453 | Hunter Health Clinic, Inc | Clinic/Center | 402 E 2nd St N, Wichita, KS 67202-2504 | 2019-03-14 |
| 1053770818 | Gracemed Health Clinic, Inc | Clinic/Center | 3417 S Meridian Ave, Wichita, KS 67217-2151 | 2016-02-22 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.