FAMILY LIFE CENTER, INC (NPI# 1124162052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124162052 |
| Entity Type | Organization |
| Organization Name | FAMILY LIFE CENTER, INC |
| Practice Address |
6610 Se Quakervale Rd Riverton KS 66770-4185 |
| Mailing Address |
Po Box 550 Riverton KS 66770 |
| Practice Telephone | 6208482300 |
| Practice Fax Number | 6208482304 |
| Mailing Telephone | 6208482300 |
| Mailing Fax Number | 6208482304 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT SCOTT JACKSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6208482300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316362791 | Family Life Center, Inc | Community/Behavioral Health | 95 S Kane St, Kahului, HI 96732-1622 | 2014-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FAMILY LIFE CENTER, INC. | 96 Rockland Avenue, North Babylon, Ny 11704 |
| Street Address |
6610 SE QUAKERVALE RD |
| City | RIVERTON |
| State | KS |
| Zip Code | 66770-4185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393533 | Spring River Mental Health & Wellness, Inc. | Clinic/Center | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-02-15 |
| 1083170690 | Daniel J Mcnally | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2019-02-19 |
| 1124584511 | Zoraida Price | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2019-02-11 |
| 1548627136 | Brandi Bruner | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2016-01-27 |
| 1710391248 | Cyndi Gayle Antoni | Social Worker | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2014-06-12 |
| 1699192617 | Fred Gammon | Counselor | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2014-03-27 |
| 1952656555 | Bradley Hilderbrand | Counselor | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2012-07-19 |
| 1871852277 | Sandra Main | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2012-05-07 |
| 1255620662 | Mark Hoag | Counselor | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2011-04-06 |
| 1992094031 | Emily Biondo | Counselor | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2011-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508854 | Grace V Robertson | Chiropractor | 6524 Se Quakerville Rd, Riverton, KS 66770 | 2019-09-26 |
| 1073746301 | Riverton Usd404 | Local Education Agency (LEA) | 6860 Se Hwy 66, Box 290, Riverton, KS 66770-0290 | 2009-09-03 |
| 1003244294 | Sue E. Terry | Nurse Practitioner | 6524 Se Quakervale Rd, Riverton, KS 66770-4214 | 2013-10-24 |
| 1629530290 | Riggs Chiropractic of Galena, LLC | Chiropractor | 6524 Se Quakervale Rd, Riverton, KS 66770-4214 | 2019-04-03 |
| 1710307582 | Spring River Mental Health and Wellness Inc | Family Medicine | 6524 Se Quakervale Rd, Riverton, KS 66770-4214 | 2014-04-21 |
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447393533 | Spring River Mental Health & Wellness, Inc. | Clinic/Center | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-02-15 |
| 1790266682 | Mountain View Family Therapy LLC | Clinic/Center | 1273 W 12600 S Ste 403, Riverton, UT 84065-7111 | 2018-08-28 |
| 1427565415 | Regan Haight, Pllc | Clinic/Center | 12569 S 2700 W Ste 202, Riverton, UT 84065-7191 | 2017-12-29 |
| 1487798401 | Spring River Mental Health and Wellness, Inc | Clinic/Center | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-02-16 |
| 1205970126 | Spring River Mental Health and Wellness, Inc | Clinic/Center | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-02-16 |
| 1114061033 | Spring River Mental Health and Wellness, Inc | Clinic/Center | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-02-16 |
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| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.