A Plus Family Healthcare LLC
Organization Active NPI Federally Qualified Health Center (FQHC) · Brownsville, KY
NPI 1114442191 · NPPES record last updated Feb 18, 2022
Key facts
- NPI
- 1114442191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- A PLUS FAMILY HEALTHCARE LLC
- Practice address
- 210 S Main St Ste 101
Brownsville, KY 42210-9001 - Phone
- (270) 975-4050
- Fax
- (270) 975-4002
- NPI assigned
- Aug 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Patrick Merritt
- Title
- Ceo
- Phone
- (270) 975-4050
Owners & managing parties with NPI records 2
-
Jennifer A Camas, MD
Other NPIs with the same Medicare PAC ID 2
Practitioners 13
-
Jennifer A Camas, MD
-
Colby Ray Carroll, APRN
-
Synthia Lynnette Frank, APRN
-
Tara Meredith, APRN
-
Brittany Leigh Sowders, APRN
-
Amy Elizabeth Thomas, APRN
-
Melissa Anne Baumgardner, APRN
-
Ashley Adale James, APRN
-
Tameron C Shaw, APRN
-
Jerrina Gusler, APRN
-
Julie Renee Hampton, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2137212 | A Plus Family Healthcare | Certificate of waiver | Sep 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Federally qualified health center certification: CCN 181156
- Legal name
- A PLUS FAMILY HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 31, 2019
- Last certification
- Oct 31, 2019
- Ownership / control type
- For profit – partnership
- Organization structure
- LLC · Non-profit
- Enrollment address
- 210 S Main St
Ste 101
Brownsville, KY 42210-9001
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Jeannie Woehler |
Corporate Officer |
Oct 1, 2024 | |
| Lauren Boles |
Corporate Officer |
May 1, 2023 | |
| Adam Turner |
Corporate Director |
Jul 1, 2022 | |
| Jennifer a Camas |
Corporate Officer |
Jun 1, 2022 | |
| Alicia Edwards |
Corporate Director |
Jan 1, 2022 | |
| Patrick Merritt |
Corporate Officer |
Oct 16, 2018 | |
| W-2 Managing Employee |
Nov 27, 2018 | ||
| Andrea Brantley |
Corporate Director |
Jun 24, 2024 | |
| Other | Jun 24, 2024 | ||
| Ashley Graham |
Corporate Officer |
May 1, 2023 | |
| Lynda Love |
Corporate Director |
Dec 19, 2022 | |
| Barbara Fitzhugh |
Corporate Director |
Nov 27, 2018 | |
| Lauren McReynolds |
Corporate Director |
Dec 18, 2022 | |
| Ryan Wigginton |
Corporate Director |
Dec 18, 2023 | |
| Tyler McCombs |
Corporate Director |
Dec 18, 2023 | |
| James Carnes |
Corporate Director |
Nov 27, 2018 | |
| Daniel Priddy |
Corporate Director |
Jan 1, 2022 | |
| Meredith West |
Corporate Director |
Nov 27, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171031000962 | KY | Part B Supplier - Clinic/Group Practice | 2466728852 |
Receives reassigned benefits from 10 practitioners Practice locations: Brownsville, KY; Elizabethtown, KY |
| O20191107001477 | KY | Part a Provider - Federally Qualified Health Center (FQHC) | 2466728852 | Practice locations: Brownsville, KY |
National Provider Directory
Locations
2945 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 780-9328
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
210 S Main St Ste 101
Brownsville, KY 42210-9001
Mailing address
PO Box 784
Brownsville, KY 42210-0784
Phone (270) 975-4050
Other providers in Brownsville, KY
- A Plus Family Healthcare
- A Plus Family Healthcare LLC
- A Plus Family Healthcare LLC
- Acsr, Inc.
- Acsr, Inc.
- Karen L Agee
- Lori Jaggers Alexander
All providers in Brownsville, KY · Federally Qualified Health Center (FQHC) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.