Organization Active NPI

Family Care Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
National Provider Identifier
1003218868
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY CARE HEALTH CENTERS
Practice address
1001 Lynch St
Saint Louis, MO 63118-1818
Phone
(314) 531-5444
Fax
(314) 531-0063
NPI assigned
Sep 23, 2014
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Robin Jones
Title
Chief Financial Officer
Phone
(314) 481-1615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MO Primary

Addresses

Primary practice location

1001 Lynch St
Saint Louis, MO 63118-1818

Mailing address

401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone (314) 481-1615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141113000118 MO Part A Provider - Federally Qualified Health Center (FQHC) 7911815097 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Louis, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003218868. Details of each certification follow.

Federally qualified health center certification: CCN 261092

Legal name
FAMILY CARE HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 16, 2014
Last certification
Dec 16, 2014
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Enrollment address
1001 Lynch St
Saint Louis, MO 63118-1818

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1001 Lynch St
Saint Louis, MO 63118
Phone (314) 535-5600

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tracy McCreery Individual Corporate Director Jan 1, 2013
Kasan Moorhead Individual Corporate Director Jan 1, 2019
Shaowei Dai Individual Corporate Director Jan 1, 2016
Lois Woods-Ward Individual Corporate Director Jan 1, 2021
Sue Lauritsen Individual Corporate Director Jan 1, 1991
Kevin Maddox Individual Corporate OfficerChief Financial Officer Jun 8, 2020
W-2 Managing Employee Jun 8, 2020
Wilma Schmitz Individual Corporate Director Jan 1, 2002
V.J. Dickson Individual Corporate Director Jan 1, 2017
Aramide Ayorinde Individual Corporate Officer Jan 17, 2023
W-2 Managing Employee Jan 17, 2023
Kevin Syberg Individual Corporate Director Jan 1, 2018
Catherine Nolan Individual Corporate Director Jan 1, 1999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1003218868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOLLY HILLS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112410",
            "telephone_number": "314-481-1615",
            "fax_number": "314-353-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LYNCH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181818",
            "telephone_number": "314-531-5444",
            "fax_number": "314-531-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "314-481-1615",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.