Organization
SUBSTANCE ABUSE AT HUNTER HEALTH CLINIC
Active
Parent organization
1376618348
Organization subpart
Yes
Provider details
NPI number
Legal business name
1376618348
Authorized official
SUSETTE M SCHWARTZ (CEO)
(316) 262-3611
Entity
Organization
Contact information
Practice address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-3611
(316) 262-0741
Mailing address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-3611
(316) 262-0741
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212200H
—
KS
01
—
116036
BCBS
KS
Enumeration date
05/03/2007
Last updated
06/10/2008
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