FIRST CARE CLINIC, INC. (NPI# 1548636665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548636665 |
| Entity Type | Organization |
| Organization Name | FIRST CARE CLINIC, INC. |
| Practice Address |
208 Marc Wagner Dr Victoria KS 67671-9589 |
| Mailing Address |
105 W 13th St Hays KS 67601-3613 |
| Practice Telephone | 7856214990 |
| Practice Fax Number | 7856288719 |
| Mailing Telephone | 7856214990 |
| Mailing Fax Number | 7856288719 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | BRYAN R BRADY (CEO) |
| Authorized Official Telephone | 7856214990 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIRST CARE CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200603010B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568634327 | First Care Clinic, Inc. | Clinic/Center | 105 W 13th St, Hays, KS 67601-3082 | 2008-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIRST CARE CLINIC, INC. | 105 W 13th St, Hays, KS 67601-3613 |
| Street Address |
208 MARC WAGNER DR |
| City | VICTORIA |
| State | KS |
| Zip Code | 67671-9589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306271275 | Delores Ann Schmeidler | Nurse Practitioner | 208 Mare Wagner Road, Victoria, KS 67671 | 2013-09-10 |
| 1073765277 | Maren K Moody | Nurse Practitioner | 208 Marc Wagner Drive, Victoria, KS 67671 | 2008-10-21 |
| 1841233913 | St. John's Inc. | Nurse Practitioner | 208 Marc Wagner Rd, Victoria, KS 67671 | 2006-06-14 |
| 1609184100 | Krista D. Braun | Physical Therapy Assistant | 701 7th St, Victoria, KS 67671 | 2010-09-17 |
| 1619123486 | Hickory Heights | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1202 Hickory St, Victoria, KS 67671-9310 | 2008-08-13 |
| 1891028353 | Usd 432 Victoria | Local Education Agency (LEA) | 804 Cathedral, Victoria, KS 67671-9413 | 2009-09-15 |
| 1770636656 | St. Johns, Inc. | Nursing Facility/Intermediate Care Facility | 701 7th St, Victoria, KS 67671-9527 | 2007-01-22 |
| 1922207232 | Roselin Pfeifer | Occupational Therapy Assistant | 701 7th St, Victoria, KS 67671-9527 | 2007-07-16 |
| 1609349844 | Golden Rule Health | Clinic/Center | 416 Main St, Victoria, KS 67671-9562 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230278 | Stephanie Roddy | Registered Nurse | 74 Wally Ln, Victoria, TX 77905-3723 | 2020-09-23 |
| 1356957591 | Bradley Bomba | Registered Nurse | 302 Yosemite Dr, Victoria, TX 77904-3662 | 2020-09-22 |
| 1801401856 | Denise Mary Tomanek | Family Medicine | 218 Cobble Stone Ct, Victoria, TX 77904-2975 | 2020-09-15 |
| 1538773163 | Regional Pathology Associates, Pllc | Clinical Medical Laboratory | 2709 N Ben Wilson St, Victoria, TX 77901-5728 | 2020-09-01 |
| 1457962540 | Uc Management Group LLC | Nurse Practitioner | 1908 N Laurent St Ste 410, Victoria, TX 77901 | 2020-08-12 |
| 1114536166 | Jennifer Foxell Bluntzer | Nurse Practitioner | 117 Andrew Dr, Victoria, TX 77904-2935 | 2020-07-27 |
| 1952927964 | His House Foundation | Case Management | 1866 Woodstone Dr, Victoria, MN 55386-9634 | 2020-06-25 |
| 1205452885 | Amy Nicole Varela | Doula | 2701 Leary Ln Trlr 82, Victoria, TX 77901-2933 | 2020-06-19 |
| 1952925174 | Emily Ann Carroll | Registered Nurse | 2402 E Mimosa Ave, Victoria, TX 77901-3519 | 2020-06-03 |
| 1306478177 | Elizabeth Thompson | Licensed Vocational Nurse | 456 Price Rd, Victoria, TX 77905-2522 | 2020-02-10 |
| Find all providers in VICTORIA | ||||
| 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 |
|---|---|---|---|---|
| 1396995940 | Southern Dominion Health System, Inc. | Clinic/Center | 1685 K-v Road, Victoria, VA 23974 | 2008-09-19 |
| 1467630731 | Southern Dominion Health System Inc | Clinic/Center | 1508 K V Road, Victoria, VA 23974-0070 | 2008-02-08 |
| 1558611475 | Community Health Centers of South Central Texas Inc | Clinic/Center | 4206 Retama Cir, Victoria, TX 77901-2765 | 2012-09-18 |
| 1497969091 | Southern Dominion Health System, Inc. | Clinic/Center | 1508 K-v Road, Victoria, VA 23974 | 2007-05-10 |
| 1295706588 | Southern Dominion Health System, Inc. | Clinic/Center | 1508 K V Rd, Victoria, VA 23974-2624 | 2006-01-27 |
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| 1942718945 | Health Partnership Clinic, Inc. | Clinic/Center | 6100 Mastin St, Merriam, KS 66203-3252 | 2018-01-12 |
| 1225552342 | Flint Hills Community Health Center, Inc | Clinic/Center | 1500 Sw Boulevard, Madison, KS 66860-8054 | 2017-07-31 |
| 1609224658 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Clinic/Center | 113a S Main St, Ulysses, KS 67880-2519 | 2016-06-01 |
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1992113898 | Gracemed Health Clinic, Inc | Clinic/Center | 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 | 2014-07-24 |
| 1043646870 | Gracemed Downing Children Clinic | Clinic/Center | 2201 E 25th St N, Building 200, Wichita, KS 67219-4714 | 2013-09-25 |
| 1356777114 | Gracemed Healthy Family Clinic | Clinic/Center | 1905 S Laura St, Wichita, KS 67211-4422 | 2013-09-24 |
| 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.