Hunter Health Clinic At Brookside

LBN: Hunter Health Clinic, Inc
Hunter Health Clinic At Brookside is an health care organization with primary practice located at 2750 S Roosevelt St , Wichita KS 67210-1304. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Hunter Health Clinic, Inc can be contacted via phone (316) 652-0152, or through Saal, Ronald via phone (316) 262-2415.

Contact Information

Primary practice address
2750 S Roosevelt St Wichita KS 67210-1304
Phone: (316) 652-0152
Fax: (316) 652-0928
Website:
Map and Directions
Authorized official contact:
Name: Saal, Ronald
Phone: (316) 262-2415

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Kansas

Profile Details

NPI number 1053487579
LBN Legal business name Hunter Health Clinic, Inc
DBA Doing business as Hunter Health Clinic At Brookside
Authorized official Saal, Ronald
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 27th, 2006
Last updated Mar 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053487579 NPPES
Kansas Other 003947 BCBS GROUP
Kansas MEDICAID 100212200C BCBS GROUP

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