Organization
HUNTER HEALTH CLINIC, INC
Active
Parent organization
1376618348
Other names
Hunter Health Clinic at Brookside
Organization subpart
Yes
Provider details
NPI number
Legal business name
1376618348
Authorized official
RONALD SAAL (CFO)
(316) 262-2415
Entity
Organization
Contact information
Practice address
2750 S ROOSEVELT ST, WICHITA, KS 67210-1304
(316) 652-0152
(316) 652-0928
Mailing address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-2415
(316) 262-0138
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003947
BCBS GROUP
KS
05
—
100212200C
—
KS
Enumeration date
11/27/2006
Last updated
03/08/2022
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