| Family Health Care, Inc. | |
|
340 Southwest Blvd Kansas City KS 66103-2150 | |
| (913) 722-3100 | |
| (913) 722-2542 |
| Full Name | Family Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 Southwest Blvd, Kansas City, Kansas |
| Authorized Official Name and Position | Lisa Harvey (CEO) |
| Authorized Official Contact | 9137223100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care, Inc. 340 Southwest Blvd Kansas City KS 66103-2150 Ph: (913) 722-3100 | Family Health Care, Inc. 340 Southwest Blvd Kansas City KS 66103-2150 Ph: (913) 722-3100 |
| NPI Number | 1609030311 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 02/03/2023 |
| Medicare PECOS PAC ID | 8325115223 |
|---|---|
| Medicare Enrollment ID | O20080918000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609030311 | NPI | - | NPPES |
| 200621130B | Medicaid | KS | |
| 30003927180002 | Medicaid | KS | |
| 500052075 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4020303 (Kansas) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Hannah E Maxfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689629958 PECOS PAC ID: 7517960974 Enrollment ID: I20060824000560 |
| Provider Name | Maithe Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689622417 PECOS PAC ID: 2365418712 Enrollment ID: I20061024000505 |
| Provider Name | Petie Schwerdtfeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811980402 PECOS PAC ID: 0244120129 Enrollment ID: I20140118000325 |
| Provider Name | Mandy Lueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619216678 PECOS PAC ID: 1759512783 Enrollment ID: I20140314001719 |
| Provider Name | Haley Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124410659 PECOS PAC ID: 0244533248 Enrollment ID: I20160126001121 |
| Provider Name | Paul B Rotert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992071393 PECOS PAC ID: 5698080349 Enrollment ID: I20160818001558 |
| Provider Name | Nicole T Yedlinsky |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366431645 PECOS PAC ID: 1759676604 Enrollment ID: I20170810001719 |
| Provider Name | Marta Beshe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003379728 PECOS PAC ID: 7719220193 Enrollment ID: I20190529000678 |
| Provider Name | Mischelle R Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396072773 PECOS PAC ID: 4183767155 Enrollment ID: I20191107002850 |
| Provider Name | Terri Hutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750347670 PECOS PAC ID: 7810395308 Enrollment ID: I20211014000390 |
| Provider Name | Dylan T Severson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003542127 PECOS PAC ID: 3173990074 Enrollment ID: I20221107001148 |
| Provider Name | Rachel Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841916608 PECOS PAC ID: 5991173742 Enrollment ID: I20221129000411 |
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