FAMILY HEALTH CENTERS, INC. (NPI# 1649732603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649732603 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS, INC. |
| Other Organization Name | FAMILY HEALTH CENTERS, INC AMERICANA ANNEX |
| Practice Address |
4803 Southside Dr Louisville KY 40214-2111 |
| Mailing Address |
Po Box 950244 Louisville KY 40295-0244 |
| Practice Telephone | 5023638606 |
| Practice Fax Number | 5027748557 |
| Mailing Telephone | 5029534799 |
| Mailing Fax Number | 5029534798 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | WILLIAM B WAGNER (CEO) |
| Authorized Official Telephone | 5027748631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Health Centers, Inc Americana Annex | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669676201 | Family Health Centers, Inc. | Clinic/Center | 7061 Norway Rd, Neeses, SC 29107-9021 | 2007-06-14 |
| 1619171972 | Family Health Centers, Inc. | Clinic/Center | 655 Laurel St, Orangeburg, SC 29115-4834 | 2007-06-12 |
| 1700080066 | Family Health Centers, Inc. | Clinic/Center | 5616 Carolina Hwy, Denmark, SC 29042-2240 | 2007-06-12 |
| 1578774477 | Family Health Centers, Inc. | Clinic/Center | 4805 Southside Dr, Louisville, KY 40214-2111 | 2007-05-24 |
| 1871546119 | Family Health Centers, Inc. | Clinic/Center | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2006-05-18 |
| 1427574862 | Family Health Centers, Inc. | Clinic/Center | 2500 W Market St, Louisville, KY 40212-1541 | 2017-08-17 |
| 1770934739 | Family Health Centers, Inc. | Optometrist | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2016-06-30 |
| 1043661093 | Family Health Centers, Inc. | Dentist | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2016-06-30 |
| 1285043935 | Family Health Centers, Inc. | Pharmacy | 834 E Broadway, Louisville, KY 40204-1072 | 2014-08-07 |
| 1982944195 | Family Health Centers, Inc. | Clinic/Center | 7061 Norway Rd, Neeses, SC 29107-9021 | 2013-02-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY HEALTH CENTERS, INC. | 2215 Portland Ave, Louisville, KY 40212-1033 |
| Street Address |
4803 SOUTHSIDE DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40214-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058659 | Abcdentistry | Clinic/Center | 5316 S 3rd St, Louisville, KY 40214 | 2018-03-28 |
| 1538591300 | Byrne Dental,psc | Dentist | 4739 So. Third Street, Louisville, KY 40214 | 2013-08-05 |
| 1205110400 | Michael Wayne Probst | Pharmacist | 5201 South Third Street, Louisville, KY 40214 | 2011-10-06 |
| 1871876920 | Cindy Eillene Ohlmann | Pharmacist | 5400 New Cut Road, Louisville, KY 40214 | 2011-09-26 |
| 1801129960 | Deborah Suzanne Slusher | Speech-Language Pathologist | 109 Seneca Trail, Louisville, KY 40214 | 2009-09-08 |
| 1255592267 | Mitisha Nichole Martin | Dentist | 5316 S. 3rd Street, Louisville, KY 40214 | 2008-06-23 |
| 1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
| 1558565739 | James Latroy Burks | Counselor | 927 Southview Rd, Louisville, KY 40214 | 2007-06-12 |
| 1770792475 | Kimberly Lynn Wheatley | Physical Therapist | 250 Kenwood Hill Road, Louisville, KY 40214 | 2007-05-21 |
| 1821219601 | Courtney Marie Smith | Speech-Language Pathologist | 3222 Rolling Oak Blvd, Louisville, KS 40214 | 2007-05-01 |
| Find all providers in zip 40214 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578774477 | Family Health Centers, Inc. | Clinic/Center | 4805 Southside Dr, Louisville, KY 40214-2111 | 2007-05-24 |
| 1770680019 | Greater Meridian Health Clinic, Inc. | Clinic/Center | 14130 Highway 15 S Ste D, Louisville, MS 39339-6452 | 2006-09-20 |
| 1780698506 | Park Duvalle Community Health Center, Inc | Clinic/Center | 2237 Hikes Ln, Louisville, KY 40218-2203 | 2006-07-28 |
| 1255354361 | Park Duvalle Community Health Center, Inc. | Clinic/Center | 1015 W Chestnut St, Louisville, KY 40203-2048 | 2006-07-26 |
| 1275151292 | Park Duvalle Community Health Center, Inc | Clinic/Center | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2020-07-07 |
| 1639727951 | Park Duvalle Community Health Center, Inc | Clinic/Center | 1130 W Chestnut St, Louisville, KY 40203-2047 | 2019-08-29 |
| 1811545403 | Park Duvalle Community Health Center, Inc | Clinic/Center | 5901 Greenwood Rd, Louisville, KY 40258-2409 | 2019-08-28 |
| 1427574862 | Family Health Centers, Inc. | Clinic/Center | 2500 W Market St, Louisville, KY 40212-1541 | 2017-08-17 |
| 1245253160 | Park Duvalle Community Health Center, Inc. | Clinic/Center | 3015 Wilson Ave, Louisville, KY 40211-1969 | 2006-07-25 |
| 1134172489 | Family Health Centers, Inc. | Clinic/Center | 834 E Broadway, Louisville, KY 40204-1072 | 2006-05-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40214 |
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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.