NPIMap

Organization Active NPI

Health Partnership Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Paola, KS
National Provider Identifier
1407109481
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH PARTNERSHIP CLINIC, INC.
Practice address
1604 Industrial Park Dr
Paola, KS 66071-9528
Phone
(913) 648-2266
NPI assigned
Oct 16, 2012
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Amy Falk
Title
Ceo
Phone
(913) 648-2266

Specialties & licenses 1

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

Addresses

Primary practice location

1604 Industrial Park Dr
Paola, KS 66071-9528

Mailing address

405 S Clairborne Rd
Suite 2
Olathe, KS 66062-1795
Phone (913) 648-2266

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120127000314 KS Part B Supplier - Clinic/Group Practice 6507033867 Receives reassigned benefits from 32 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Olathe, KS; Shawnee Mission, KS; Ottawa, KS; Paola, KS
O20130214000523 KS Part A Provider - Federally Qualified Health Center (FQHC) 6507033867 Practice locations: Paola, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407109481. Details of each certification follow.

Federally qualified health center certification: CCN 171848

Legal name
HEALTH PARTNERSHIP CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 5, 2013
Last certification
Apr 5, 2013
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Feb 21, 1992 in KS
Enrollment address
1604 Industrial Park Dr
Paola, KS 66071-9528

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 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2175601Health Partnership Clinic1604 Industrial Park Drive, Paola, KS 66071Provider-performed microscopyNov 24, 2027

National Provider Directory

National Provider Directory

Locations

405 S Clairborne Rd
Ste 2
Olathe, KS 66062
Phone (913) 390-7816

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kevan Acord Individual Corporate OfficerTreasurer Oct 1, 2017
Darren Odum Individual Corporate DirectorVice Chairperson Jan 1, 2020
Bruce Baker Individual Corporate Director Jan 1, 2019
Mina Foster Individual Corporate Director Mar 1, 2019
Mariana Ramirez Individual Corporate Officer Aug 1, 2013
James Terrones Individual Corporate Director Jan 1, 2020
Tracy Price Individual Corporate OfficerSecretary Jan 1, 2016
Tierney L Grasser Individual Corporate OfficerChair Jan 1, 2006
John McKinney Individual Corporate Director Jan 1, 2022
Robin R. Harrold Individual Corporate Officer Jan 1, 2009
Health Partnership Clinic Inc Organization, Paola, KS Operational/Managerial Control Dec 10, 2012 100%
Julia Woods Individual Corporate Officer Jan 1, 2015
Burnis Lance Individual Corporate Director Jan 1, 2022
Michelle Cabrera Individual Corporate Director Jan 1, 2020
Amy Falk Individual Corporate OfficerCeo Mar 21, 2016
W-2 Managing EmployeeCeo Mar 21, 2016
Barbara Letch Individual Corporate Director Jan 1, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Partnership Clinic IncOlathe, KS, CCN 171845 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1407109481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S CLAIRBORNE RD",
            "address_2": "SUITE 2",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621795",
            "telephone_number": "913-648-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 INDUSTRIAL PARK DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660719528",
            "telephone_number": "913-648-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARTNERSHIP CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-648-2266"
    },
    "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 Paola, KS

Sources for this page

Verify at the official NPI Registry.