National Provider Identifier Database

HEALTHCORE CLINIC INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

HEALTHCORE CLINIC INC
2707 EAST 21ST STREET NORTH
WICHITA, KS67214-2249
Phone: 316-691-0249
Fax: 316-691-9939
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Mental Health (Including Community Mental Health Center) 261QM0801X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for HEALTHCORE CLINIC INC

NPI Number 1033218565
Legal business name
LBN
HEALTHCORE CLINIC INC
Authorized official TERESA LOVELADY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/21/2006
Last updated 08/14/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: 07000882
  • KS License #: 07000887
  • KS License #: 1033218565
  • KS Medicaid: 100321990
  • KS Medicaid: 100321990A
  • KS Medicaid: 100321990C

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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