NPIMap

Organization Active NPI

First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
National Provider Identifier
1568634327
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
105 W 13TH St
Hays, KS 67601-3082
Phone
(785) 621-4990
Fax
(785) 628-8719
NPI assigned
Apr 1, 2008
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

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

105 W 13TH St
Hays, KS 67601-3082

Mailing address

105 W 13TH St
Hays, KS 67601-3082
Phone (785) 621-4990

Other identifiers 1

IdentifierTypeStateIssuer
200603010AMedicaidKS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090706000049 KS Part A Provider - Federally Qualified Health Center (FQHC) 8820149834 Practice locations: Hays, KS
O20100928000414 KS Part B Supplier - Clinic/Group Practice 8820149834 Receives reassigned benefits from 14 practitioners
3 other NPIs on this enrollment
Practice locations: Hays, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568634327. Details of each certification follow.

Federally qualified health center certification: CCN 171829

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
Apr 13, 2009
Last certification
Apr 13, 2009
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Enrollment address
105 W 13TH St
Hays, KS 67601-3082

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.

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
17D1024882First Care Clinic, Inc105 W 13TH St, Hays, KS 67601Certificate of waiverSep 14, 2026

National Provider Directory

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

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 DirectorBoard Member 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 DirectorBoard Member Jan 6, 2017
Carmen Acosta Individual Corporate Director Jul 11, 2024
Chris Schumacher Individual Corporate Director Mar 7, 2019

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1568634327",
    "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": "676013082",
            "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": "105 W 13TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013082",
            "telephone_number": "785-621-4990",
            "fax_number": "785-628-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200603010A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.