FAMILY HEALTH CENTERS, INC. (NPI# 1104879469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104879469 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS, INC. |
| Other Organization Name | FAMILY HEALTH CENTER SOUTHWEST |
| Practice Address |
9702 Stonestreet Road Medical Office Building 1, Suite 220 Louisville KY 40272-2847 |
| Mailing Address |
Po Box 950244 Louisville KY 40295-0244 |
| Practice Telephone | 5029955051 |
| Practice Fax Number | 5029955078 |
| 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 Southwest | 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 |
| 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 |
| 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 |
9702 STONESTREET ROAD MEDICAL OFFICE BUILDING 1, SUITE 220 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40272-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699755058 | Melissa Sublett Hancock | Pediatrics | 9702 Stonestreet Road, Ste 100, Louisville, KY 40272-6809 | 2006-01-20 |
| 1205009438 | University Pediatrics Foundation, Inc. | Pediatrics | 9702 Stonestreet Road, Suite 100, Louisville, KY 40272-6809 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795105 | Jewell Elizabeth Berger | Occupational Therapist | 9700 Stone Street Rd, Louisville, KY 40272 | 2017-08-07 |
| 1235668658 | Jessica Cook | Occupational Therapy Assistant | 12420 Hedgeapple Way, Louisville, KY 40272 | 2017-06-08 |
| 1033468525 | Shawn Thomas Benningfield | Counselor | 9702 Stonestreet Rd Ste 120, Louisville, KY 40272 | 2012-08-30 |
| 1386956415 | Jeannette M Martin | Marriage & Family Therapist | 9800 Stonestreet Rd, Louisville, KY 40272 | 2010-07-06 |
| 1437346145 | Community Family Living, LLC | Day Training, Developmentally Disabled Services | 610 Valley College Dr., Louisville, KY 40272 | 2007-09-26 |
| 1982797403 | William Spencer Shipley | Dentist | 9900 Old Third Street Road, Louisville, KY 40272 | 2006-10-02 |
| 1962513317 | Teresa May Wright | Nurse Practitioner | 1912 Penile Rd, Valley Station, KY 40272 | 2006-08-31 |
| 1710400734 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 701 Valley College Dr, Louisville, KY 40272 | 2017-07-21 |
| 1952851859 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 | 2016-10-04 |
| 1780090233 | Umama Sadia | Family Medicine | 9702 Stonestreet Rd, Louisville, KY 40272 | 2014-07-05 |
| Find all providers in zip 40272 | ||||
| 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 |
|---|---|---|---|---|
| 1649732603 | Family Health Centers, Inc. | Clinic/Center | 4803 Southside Dr, Louisville, KY 40214-2111 | 2019-04-01 |
| 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 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40272 |
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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.