Active NPI
Partners in Family Care LLC
- Family Medicine Physician
- Moundridge, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PARTNERS IN FAMILY CARE LLC
- Practice address
- 200 E Pack
Moundridge, KS 67107-0640 - Phone
- (620) 345-6322
- Fax
- (620) 345-3038
- NPI assigned
- Feb 27, 2006
- Last updated
- May 22, 2023
- 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
- Paul D Ullom-Minnich, M.D.
- Title
- M.D.
- Phone
- (620) 345-6322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
200 E Pack
Moundridge, KS 67107-0640
Mailing address
200 East Pack
Moundridge, KS 67107-0640
Phone (620) 345-6322
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110273 | Other | KS | BS GROUP ID NUMBER |
| 100273280A | Medicaid | KS | |
| 460682 | Medicaid | KS | |
| 460679 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0451120 | Partners in Family Care | Certificate of waiver | May 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
110 E Smith St
Hesston, KS 67062
Phone (620) 327-2314
371 N Old 81 Hwy
Hesston, KS 67062
Phone (620) 327-2314
1600 E Euclid St
McPherson, KS 67460
Phone (620) 242-0584
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Family Medicine Physician
- Moundridge, KS
- NPI 1326043241
-
- Family Medicine Physician
- Hesston, KS
- NPI 1760649693
-
- Family Medicine Physician
- Hesston, KS
- NPI 1295992121
-
- Family Medicine Physician
- Moundridge, KS
- NPI 1013539592
-
- Family Medicine Physician
- Wichita, KS
- NPI 1417688870
-
- Family Medicine Physician
- Moundridge, KS
- NPI 1235134156
-
- Family Medicine Physician
- Moundridge, KS
- NPI 1073518999
-
- Physician Assistant
- Moundridge, KS
- NPI 1639529944
-
- Physician Assistant
- Moundridge, KS
- NPI 1003166927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1417923780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 EAST PACK",
"city": "MOUNDRIDGE",
"state": "KS",
"postal_code": "671070640",
"telephone_number": "620-345-6322",
"fax_number": "620-345-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E PACK",
"city": "MOUNDRIDGE",
"state": "KS",
"postal_code": "671070640",
"telephone_number": "620-345-6322",
"fax_number": "620-345-3038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS IN FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-27",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "ULLOM-MINNICH",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "620-345-6322",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS GROUP ID NUMBER",
"identifier": "110273",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100273280A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460682",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460679",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moundridge, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.