Organization
HUNTER HEALTH CLINIC, INC
Active
Parent organization
1376618348
Other names
HHC at Wichita Child Guidance Center
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
415 N POPLAR AVE, WICHITA, KS 67214-4529
(316) 686-6671
(316) 686-1094
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
—
100212200E
—
KS
01
—
1396809547
NPI
KS
Enumeration date
12/21/2006
Last updated
01/07/2009
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