Active NPI
Family Care Health Centers
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
National Provider Identifier
1003218868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1508867508
O20141113000118
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tracy McCreery | Corporate Director | Jan 1, 2013 | |
| Kasan Moorhead | Corporate Director | Jan 1, 2019 | |
| Shaowei Dai | Corporate Director | Jan 1, 2016 | |
| Lois Woods-Ward | Corporate Director | Jan 1, 2021 | |
| Sue Lauritsen | Corporate Director | Jan 1, 1991 | |
| Kevin Maddox | Corporate Officer | Jun 8, 2020 | |
| W-2 Managing Employee | Jun 8, 2020 | ||
| Wilma Schmitz | Corporate Director | Jan 1, 2002 | |
| V.J. Dickson | Corporate Director | Jan 1, 2017 | |
| Aramide Ayorinde | Corporate Officer | Jan 17, 2023 | |
| W-2 Managing Employee | Jan 17, 2023 | ||
| Kevin Syberg | Corporate Director | Jan 1, 2018 | |
| Catherine Nolan | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.