NPIMap

Organization Active NPI

First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
National Provider Identifier
1245958487
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FIRST CARE CLINIC, INC.
Practice address
1301 Main St
Hays, KS 67601-3622
Phone
(785) 621-4990
NPI assigned
Aug 15, 2022
Organization subpart
Yes
Parent organization
FIRST CARE CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Eric C Flax
Title
Ceo
Phone
(785) 621-4990

Specialties & licenses 1

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

Addresses

Primary practice location

1301 Main St
Hays, KS 67601-3622

Mailing address

1301 Main St
Hays, KS 67601-3622
Phone (785) 621-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100928000414 KS Part B Supplier - Clinic/Group Practice 8820149834 Receives reassigned benefits from 14 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hays, KS
O20230113000195 KS Part A Provider - Federally Qualified Health Center (FQHC) 8820149834 Practice locations: Hays, KS

Federally qualified health center certification: CCN 171002

Legal name
FIRST CARE CLINIC INC
Doing business as
FIRST CARE CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 4, 2023
Last certification
Jan 4, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1301 Main St
Hays, KS 67601-3622

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
First Care Clinic Inc4 organizations share this tax ID, including this one
Part of
First Care Clinic Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1301 Main St
Hays, KS 67601
Phone (785) 301-9390

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
Callie Kolacny Individual Corporate Director Sep 5, 2024
Kathy Stenzel Individual Corporate Director Jan 20, 2017
Amy Feauto Individual Corporate Director Jan 2, 2025
Amy Staab Individual Corporate Director Apr 7, 2022
Joseph Bain Individual Corporate Director Apr 7, 2022
William Meagher Individual Corporate Director Aug 1, 2021
Eric Flax Individual Corporate Director Aug 4, 2021
W-2 Managing Employee Aug 4, 2021
Whitney Brown Individual Corporate Director Nov 1, 2018
Lance Hartman Individual Corporate Director Jan 6, 2017
Carmen Acosta Individual Corporate Director Jul 11, 2024
Chris Schumacher Individual Corporate Director Mar 7, 2019

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1245958487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013622",
            "telephone_number": "785-621-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013622",
            "telephone_number": "785-621-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CARE CLINIC, INC.",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "FLAX",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-621-4990"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.