| Hunter Health Clinic At Brookside | |
|
2750 S Roosevelt St Wichita KS 67210-1304 | |
| (316) 652-0152 | |
| (316) 652-0928 |
| Full Name | Hunter Health Clinic At Brookside |
|---|---|
| Speciality | Clinic/Center |
| Location | 2750 S Roosevelt St, Wichita, Kansas |
| Authorized Official Name and Position | Ronald Saal (CFO) |
| Authorized Official Contact | 3162622415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hunter Health Clinic At Brookside 2318 E Central Ave Wichita KS 67214-4436 Ph: (316) 262-2415 | Hunter Health Clinic At Brookside 2750 S Roosevelt St Wichita KS 67210-1304 Ph: (316) 652-0152 |
| NPI Number | 1053487579 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 03/08/2022 |
| Medicare PECOS PAC ID | 5193632941 |
|---|---|
| Medicare Enrollment ID | O20081008000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053487579 | NPI | - | NPPES |
| 003947 | Other | KS | BCBS GROUP |
| 100212200C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Kansas) | Primary |
Form Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Douglas Ave Fl 2, Wichita, KS 67202 Phone: 617-505-1520 | |
Primary Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7111 E 21st St N Ste A, Wichita, KS 67206 Phone: 316-684-2851 | |
Substance Abuse At Hunter Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2318 E Central Ave, Wichita, KS 67214 Phone: 316-262-3611 Fax: 316-262-0741 | |
Freestate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4723 E Douglas Ave, Wichita, KS 67218 Phone: 888-505-1776 Fax: 888-505-1776 | |
Centerwell Senior Primary Care (ks) Pa - Parklane Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 S Glendale St, Wichita, KS 67218 Phone: 316-618-9555 | |
Robert A Sweet Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 N Cypress Dr, Suite 100, Wichita, KS 67226 Phone: 316-260-4747 | |
World Impact, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 E 13th St N, #400, Wichita, KS 67208 Phone: 316-682-1880 |