FAMILY HEALTH CENTER


Address: 1410 N Woodlawn Blvd, Suite A, Derby, KS 67037-2922
Phone: 3167883741

FAMILY HEALTH CENTER (NPI# 1962558395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962558395
Entity Type Organization
Organization Name FAMILY HEALTH CENTER
Practice Address 1410 N Woodlawn Blvd
Suite A
Derby
KS 67037-2922
Practice Telephone 3167883741
Mailing Telephone 3167883741
Enumeration Date 2007-01-26
Last Update Date 2008-03-20
Authorized Official Name DR. MARK NEIL VINZANT (MEDICAL DIRECTOR)
Authorized Official Telephone 3167883741
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 0417161 KS Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS MEDICARE GROUP # 016429 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093058968 Family Health Center Clinic/Center 117 S 11th Ave, Laurel, MS 39440-4312 2013-03-29
1316126121 Family Health Center Specialist 3415 Hamilton St, Suite 9, Hyattsville, MD 20782-3953 2007-10-29
1093750697 Family Health Center Psychologist 6 Montgomery Village Ave, 400, Gaithersburg, MD 20879-3546 2006-06-18
1336193416 Family Health Center Chiropractor 630 Salem Ave, Woodbury, NJ 08096-3118 2006-05-21

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities FAMILY HEALTH CENTER OF CLARK COUNTY INC 1319 Duncan Ave, Jeffersonville, IN 47130-3720
System for Award Management (SAM) Entities FAMILY HEALTH CENTER OF LEA COUNTY 515 E Main St, Hobbs, NM 88240-8119
System for Award Management (SAM) Entities FAMILY HEALTH CENTER OF SIERRA VISTA PC 1800 E Wilcox Dr, Sierra Vista, AZ 85635-2756
System for Award Management (SAM) Entities FAMILY HEALTH CENTER OF WORCESTER, INC. 26 Queen St Ste 3, Worcester, MA 01610-2473
System for Award Management (SAM) Entities FAMILY HEALTH CENTERS 716 1st Ave S, Okanogan, WA 98840-9679
System for Award Management (SAM) Entities FAMILY HEALTH CENTERS AT NYU LANGONE 150 55th St Ste 1, Brooklyn, NY 11220-2508
System for Award Management (SAM) Entities FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. 2256 Heitman St, Fort Myers, FL 33901-3744
Washington State Corporations FAMILY HEALTH CENTERS OMAK 716 1st Ave S, Okanogan, WA 98840
System for Award Management (SAM) Entities FAMILY HEALTH CENTERS, INC. 2215 Portland Ave, Louisville, KY 40212-1033
Iowa Business Entities FAMILY HEALTH CENTERS, L.L.C. 5445 Ave O, Fort Madison, IA 52627

Office Location

Street Address 1410 N WOODLAWN BLVD
SUITE A
City DERBY
State KS
Zip Code 67037-2922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659319481 Mark N Vinzant Family Medicine 1410 N Woodlawn Blvd, Suite A, Derby, KS 67037-2922 2006-06-03
1932637725 Miranda Larae Vancil Nurse Practitioner 1410 N Woodlawn Blvd, Derby, KS 67037-2953 2017-05-24
1407237381 Kansas Medical Center, LLC Family Medicine 1410 N Woodlawn Blvd, Derby, KS 67037-2953 2015-06-16
1629485297 Abby Siler Physical Therapist 1410 N Woodlawn Blvd, Ste E, Derby, KS 67037-2953 2014-07-16
1336580406 Luke Gregory Lawrence Records Family Medicine 1410 N Woodlawn Blvd, Derby, KS 67037-2953 2013-07-17
1376672279 Julie Olmstead Occupational Therapist 1410 N Woodlawn Blvd, Suite E, Derby, KS 67037-2922 2007-03-05
1740318294 Marsha Younger Physical Therapy Assistant 1410 N Woodlawn Blvd, Suite E, Derby, KS 67037-2922 2007-02-28
1225141336 Johnny Allen Barker Nurse Practitioner 1410 N Woodlawn Blvd, Suite A, Derby, KS 67037-2922 2006-08-16
1669484200 Jeffrey R Battiste Physical Therapist 1410 N Woodlawn Blvd, Suite E, Derby, KS 67037-2953 2006-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114409182 Lori Renee Young Counselor 1144 N. Buckner, Derby, KS 67037 2018-09-05
1295227585 James Todd Hawkins Social Worker 918 E Wedgewood Dr., Derby, KS 67037 2018-06-01
1518454842 Rock Regional Hospital, LLC General Acute Care Hospital 3251 Rock Road, Derby, KS 67037 2018-04-23
1093161325 Inspired Care LLC In Home Supportive Care 1400 E Warren Ave, Derby, KS 67037 2016-05-05
1083095970 Emily O'dell Family Medicine 1640 E Tall Tree Rd, Derby, KS 67037 2015-06-16
1700264017 Grant Snider Dds, LLC Dentist 2701 North Rock Road, Suite 600, Derby, KS 67037 2015-05-07
1629472691 Anaidy Claudio Social Worker 265 W Village Lake Dr, Derby, KS 67037 2014-10-20
1396094470 Derby Assisted Living, LLC Assisted Living Facility 719 N. Klein Circle, Derby, KS 67037 2012-09-05
1700104635 Cynthia D Holcomb Social Worker 1721 E. Osage, Suite 300, Derby, KS 67037 2010-05-17
1295066215 Traci Lynn Borland Occupational Therapist 731 Klein Circle, Derby, KS 67037 2010-01-15
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073932166 Ashley Lucas Specialist 230 Shagbark Dr, Derby, CT 06418-2637 2014-04-16
1730175118 Richard Katz Specialist 300 Seymour Ave, Derby, CT 06418-1343 2005-09-21
1295901346 Preetha Krishnamoorthy Specialist 210 Chatfield St, Derby, CT 06418-1150 2008-05-07
1619094091 Kenneth J Dobuler, M.d. Specialist 130 Division St, Derby, CT 06418-1326 2007-03-23
1164585451 Physical Therapy of Southern Connecticut, P.C. Specialist 111 New Haven Ave, Derby, CT 06418-2197 2006-12-18
1346251659 Cynthia Mary Ronan Iv Specialist 300 Seymour Ave, Suite 108, Derby, CT 06418-1343 2006-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710593215 Latricia Renee Anderson Specialist 420 Se 29th St Ste B, Topeka, KS 66605-1191 2020-09-20
1275158537 Casey M Emmerich Specialist 401 Arkansas St, Lawrence, KS 66044-1338 2020-06-12
1104475664 Intangible Inches, LLC Specialist 13849 S Mur Len Rd Ste J, Olathe, KS 66062-1664 2019-09-08
1811455561 Vordis Behavioral Health Specialist 8014 State Line Rd Ste 100, Prairie Village, KS 66208-3712 2019-03-12
1518409986 Francis Leo Heisinger Specialist 12051 S Summit St, Olathe, KS 66062-4931 2016-11-16
1821530023 Abby Henson Specialist 530 E Cheyenne St, Gardner, KS 66030-8409 2016-11-06
1811447048 Kansas University Physicians, Inc. Specialist 7420 Switzer St, Shawnee, KS 66203-4550 2016-10-12
1639628829 Tierra Lakes Medical Group, LLC Specialist 4969 N Tierra Lakes Pkwy, Bel Aire, KS 67226-3345 2016-09-28
1265980858 Bobby Ballesteros Specialist 14614 S Brougham Dr, Olathe, KS 66062-2595 2016-09-13
1235684754 John Lee Andres Specialist 1205 S 1st St, Hiawatha, KS 66434-2730 2016-08-25
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Competitor

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City DERBY
Zip Code 67037

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Dataset Information

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.

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