First Care Clinic, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FIRST CARE CLINIC, INC.

Practice address

208 Marc Wagner Dr
Victoria, KS 67671-9589

Phone

(785) 621-4990

Fax

(785) 628-8719

NPI assigned

Aug 12, 2015

Organization subpart

Yes

Parent organization

FIRST CARE CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Bryan R Brady

Title

Ceo

Phone

(785) 621-4990

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
  • NPI 1205572203

  O20100928000414

  Same enrollment
• First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
  • NPI 1245958487

  O20100928000414

  Same enrollment
• First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
  • NPI 1568634327

  O20100928000414

  Same enrollment

Part of

First Care Clinic Inc

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.

• First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
  • NPI 1568634327
  NPPES parent name

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1548636665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 13TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013613",
            "telephone_number": "785-621-4990",
            "fax_number": "785-628-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MARC WAGNER DR",
            "city": "VICTORIA",
            "state": "KS",
            "postal_code": "676719589",
            "telephone_number": "785-621-4990",
            "fax_number": "785-628-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CARE CLINIC, INC.",
        "enumeration_date": "2015-08-12",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200603010B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista D. Braun, CPTA
• Breakthrough Physical Therapy and Wellness LLC
• Golden Rule Health
• Shari Ann Hertel, RN
• Hickory Heights
• Shelby Lynn Schmeidler
• Jamie L. Schneider, A.R.N.P.

• Federally Qualified Health Center (FQHC) in Victoria, KS
• Providers in Victoria, KS by specialty
• Federally Qualified Health Center (FQHC) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.