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Organization

HUNTER HEALTH CLINIC, INC

Active
Parent organization
1376618348
Other names
HUNTER HEALTH CLINIC LABORATORY
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
291U00000X
Clinical Medical Laboratory
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100212200A
KS
Enumeration date
11/30/2006
Last updated
01/08/2009
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