Organization Active NPI

Family Healthcare Clinic, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Bartlesville, OK
National Provider Identifier
1659581387
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
FAMILY HEALTHCARE CLINIC, INC.
Practice address
1820 W Hensley Blvd
Bartlesville, OK 74003-2237
Phone
(918) 336-4822
Fax
(918) 336-5017
NPI assigned
May 23, 2007
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Ms. Patty A Leach
Title
Executive Director
Phone
(918) 336-4822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Primary

Addresses

Primary practice location

1820 W Hensley Blvd
Bartlesville, OK 74003-2237

Mailing address

1820 W Hensley Blvd
Bartlesville, OK 74003-2237
Phone (918) 336-4822

Other identifiers 2

IdentifierTypeStateIssuer
200064460AMedicaidOK
100202470AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712001094 OK Part B Supplier - Clinic/Group Practice 5597200634 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlesville, OK

National Provider Directory

National Provider Directory

Locations

1820 W Hensley Blvd
Bartlesville, OK 74003
Phone (918) 214-8081

Practitioners & affiliated clinicians

Practitioners 2

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1659581387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W HENSLEY BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740032237",
            "telephone_number": "918-336-4822",
            "fax_number": "918-336-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W HENSLEY BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740032237",
            "telephone_number": "918-336-4822",
            "fax_number": "918-336-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-336-4822",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064460A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.