Provider Demographics
NPI:1447756457
Name:HUNTER HEALTH CLINIC INC
Entity Type:Organization
Organization Name:HUNTER HEALTH CLINIC INC
Other - Org Name:HUNTER HEALTH COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-491-7611
Mailing Address - Street 1:2318 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4436
Mailing Address - Country:US
Mailing Address - Phone:316-262-2415
Mailing Address - Fax:316-264-4734
Practice Address - Street 1:527 N GROVE STREET, SUITE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214
Practice Address - Country:US
Practice Address - Phone:316-796-8438
Practice Address - Fax:316-262-2951
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNTER HEALTH CLINIC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-30
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
KS2-1050923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2176704OtherPK