FAMILY HEALTH CENTERS, INC. (NPI# 1134172489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134172489 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS, INC. |
| Other Organization Name | FAMILY HEALTH CENTER EAST BROADWAY |
| Practice Address |
834 E Broadway Louisville KY 40204-1072 |
| Mailing Address |
Po Box 950244 Louisville KY 40295-0244 |
| Practice Telephone | 5025831981 |
| Practice Fax Number | 5025681856 |
| 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 East Broadway | 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 |
834 E BROADWAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1043779895 | Mary Alane Sallee | Nurse Practitioner | 834 E Broadway, Louisville, KY 40204-1072 | 2019-03-19 |
| 1427402882 | Kenneth Parsons | Pharmacist | 834 E Broadway, Louisville, KY 40204-1072 | 2016-04-21 |
| 1487063137 | Ngoc Uyen V Nguyen | Social Worker | 834 E Broadway, Louisville, KY 40204-1072 | 2014-08-07 |
| 1285043935 | Family Health Centers, Inc. | Pharmacy | 834 E Broadway, Louisville, KY 40204-1072 | 2014-08-07 |
| 1104255629 | Anna V Gass | Nurse Practitioner | 834 E Broadway, Louisville, KY 40204-1072 | 2013-11-05 |
| 1457630824 | Erin R. Riedel | Social Worker | 834 E Broadway, Louisville, KY 40204-1072 | 2011-08-16 |
| 1457523532 | Aisha Ali | Pediatrics | 834 E Broadway, Louisville, KY 40204-1072 | 2008-03-28 |
| 1427086370 | Susan Michelle Taylor Peters | Obstetrics & Gynecology | 834 E Broadway, Louisville, KY 40204-1072 | 2006-06-29 |
| 1396791208 | Louisville Jefferson County Metro Government | Ambulance | 834 E Broadway, Louisville, KY 40204-1072 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| 1700867512 | Gabor Steven Vargo | Dentist | 1250 Bardstown Road, Suite 11, Louisville, KY 40204 | 2005-11-09 |
| Find all providers in zip 40204 | ||||
| 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 | 40204 |
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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.