FAMILY HEALTH CENTERS, INC. (NPI# 1205889540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205889540 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTERS, INC. |
| Other Organization Name | FAMILY HEALTH CENTER PHOENIX |
| Practice Address |
712 E Muhammad Ali Blvd Louisville KY 40202-1643 |
| Mailing Address |
Po Box 950244 Louisville KY 40295-0244 |
| Practice Telephone | 5025686972 |
| Practice Fax Number | 5025876683 |
| Mailing Telephone | 5029534700 |
| Mailing Fax Number | 5027728189 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-01-09 |
| 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 Phoenix | 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 |
712 E MUHAMMAD ALI BLVD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265411250 | Teresa Gregory Casey | Nurse Practitioner | 712 E Muhammad Ali Blvd, Louisville, KY 40202 | 2006-01-10 |
| 1629619911 | Frances C Black | Social Worker | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 | 2019-10-08 |
| 1346713500 | Anthony J Brown | Pharmacist | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 | 2019-01-09 |
| 1245688035 | Family Health Centers Inc | Pharmacy | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 | 2016-06-02 |
| 1124368816 | Timothy Vincent Welsh | Social Worker | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 | 2013-02-18 |
| 1811058860 | Robert Z Wojda | Emergency Medicine | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 | 2006-12-13 |
| 1063507671 | Erika Lynn White | Dentist | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 | 2006-10-03 |
| 1881690436 | Donna S Rush | Dentist | 712 E Muhammad Ali Blvd, Louisville, KY 40202-1643 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 | 40202 |
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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.