Health Partnership Clinic, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Shawnee Mission, KS
NPI 1720437007 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1720437007
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HEALTH PARTNERSHIP CLINIC, INC
- Practice address
- 9119 W 74TH St
Ste 210
Shawnee Mission, KS 66204-2229 - Phone
- (913) 648-2266
- NPI assigned
- Jun 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Amy Falk
- Title
- Ceo
- Phone
- (913) 433-7583
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 6
Practitioners 5
-
Kelly D Kreisler, MD
-
Mary Ortiz, LSCSW
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2175597 | Health Partnership Clinic | Certificate of waiver | Nov 24, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Health Partnership Inc
Locations
407 S Clairborne Rd
Olathe, KS 66062
Phone (913) 393-9921
1604 Industrial Park Dr
Paola, KS 66071
Phone (913) 294-9223
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHEICA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
9119 W 74TH St
Ste 210
Shawnee Mission, KS 66204-2229
Mailing address
405 S Clairborne Rd
Suite 2
Olathe, KS 66062-1795
Phone (913) 648-2266
Other providers in Shawnee Mission, KS
- Samantha Hance
- Erin Haniger
- Andrew Harmon
- Lisa Harris
- Kelli Elise Heacock
- Healthy Life Chiropractic LLC
- Hearing Associates Inc
- Heart of America Eye Care, PA
- Sarah A Heath
- Anne Elizabeth Heiniger
All providers in Shawnee Mission, KS · Federally Qualified Health Center (FQHC) in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.