FAMILY HEALTH CENTERS, INC. (NPI# 1871546119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871546119 |
Entity Type | Organization |
Organization Name | FAMILY HEALTH CENTERS, INC. |
Other Organization Name | FAMILY HEALTH CENTER FAIRDALE |
Practice Address |
1000 Neighborhood Pl Fairdale KY 40118-9697 |
Mailing Address |
Po Box 950244 Louisville KY 40295-0244 |
Practice Telephone | 5023612381 |
Practice Fax Number | 5023631462 |
Mailing Telephone | 5029534700 |
Mailing Fax Number | 5027728189 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2020-01-13 |
Authorized Official Name | MR. 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) |
700013 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 31000052 | 05 |
Other Name | Type Code |
---|---|
Family Health Center Fairdale | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649732603 | Family Health Centers, Inc. | Clinic/Center | 4803 Southside Dr, Louisville, KY 40214-2111 | 2019-04-01 |
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 |
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 |
1000 NEIGHBORHOOD PL |
City | FAIRDALE |
State | KY |
Zip Code | 40118-9697 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528587789 | Terrica Michelle Flowers | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2017-09-19 |
1467636589 | Ieshia Miya Blakey | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-12-26 |
1932308855 | Amanda Calloway Phillips | Registered Nurse | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-07-11 |
1114052677 | Manuel L Brown Jr. | Family Medicine | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-02-23 |
1316072960 | Louisville-jefferson County Metro Government | Public Health or Welfare | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-02-23 |
1942231113 | Dona J Meers | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952523805 | Mary Tyler Ewald | Dentist | 508 Fairdale Road, Fairdale, KY 40118 | 2007-05-02 |
1477688802 | Lousville-jefferson County Metro Government | Public Health or Welfare | 9110 National Turnpike, Fairdale, KY 40118 | 2007-02-23 |
1467520783 | Mosen Rashid Khani | Chiropractor | 10701 W. Manslick Rd., Fairdale, KY 40118 | 2006-12-04 |
1871715300 | Baughman & Ewald, P.s.c. | Point of Service | 508 Fairdale Road, Fairdale, KY 40118 | 2007-05-03 |
1700221124 | Andrea Edwards | Licensed Practical Nurse | 10107 Keys Ferry Rd, Fairdale, KY 40118-9033 | 2013-04-30 |
1174808984 | Shelley Lampe | Developmental Therapist | 10617 Jefferson Hill Rd, Fairdale, KY 40118-9042 | 2011-10-13 |
1336706860 | Keyonna Johnson | Social Worker | 227 Tex Ave, Fairdale, KY 40118-9103 | 2019-05-21 |
1447642020 | Towns Family Services, LLC | Home Health | 9409 Brown Austin Rd, Fairdale, KY 40118-9532 | 2015-02-19 |
1235615568 | Valeri Elzy | Massage Therapist | 10406 W Manslick Rd, Fairdale, KY 40118-9547 | 2018-07-19 |
1831255116 | Alliance Chiropractic of Se, LLC | Chiropractor | 10701 W Manslick Rd, Fairdale, KY 40118-9581 | 2006-12-29 |
Find all providers in zip 40118 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
1861099087 | Sterling Health Solutions Inc | Clinic/Center | 367 Bethlehem Rd, Paris, KY 40361-2493 | 2020-10-01 |
1710584925 | Sterling Health Solutions Inc | Clinic/Center | 3339 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
1255938460 | Sterling Health Solutions Inc | Clinic/Center | 3341 Lexington Rd, Paris, KY 40361-1038 | 2020-10-01 |
1831705995 | Sterling Health Solutions Inc | Clinic/Center | 369 Bethlehem Rd, Paris, KY 40361-2493 | 2020-09-23 |
1053926394 | A Plus Family Healthcare LLC | Clinic/Center | 220 Wildcat Way, Brownsville, KY 42210-9032 | 2020-09-14 |
1174138689 | A Plus Family Healthcare LLC | Clinic/Center | 5720 Ky Highway 259 N, Sweeden, KY 42285-7106 | 2020-09-11 |
1851901656 | Sterling Health Solutions Inc | Clinic/Center | 506 Maysville Rd Ste 2, Mount Sterling, KY 40353-9317 | 2020-08-06 |
1639797665 | Cumberland Family Medical Center, Inc. | Clinic/Center | 478 Whirlaway Drive, Suite 200, Davnille, KY 40422-9037 | 2020-07-07 |
1275160376 | Cumberland Family Medical Center, Inc. | Clinic/Center | 323 Morningside Drive, Elizabethtown, KY 42701-1739 | 2020-03-26 |
Find all providers with the same taxonomy |
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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.