Provider Demographics
NPI:1447809322
Name:FAMILY HEALTH CARE, INC.
Entity type:Organization
Organization Name:FAMILY HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-722-3100
Mailing Address - Street 1:340 SOUTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2150
Mailing Address - Country:US
Mailing Address - Phone:913-636-3791
Mailing Address - Fax:
Practice Address - Street 1:340 SOUTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2150
Practice Address - Country:US
Practice Address - Phone:913-722-3100
Practice Address - Fax:913-722-2542
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARON LEE FAMILY HEALTH CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-04
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200621130BMedicaid
KS30003927180003Medicaid