NPIMap

Organization Active NPI

Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
National Provider Identifier
1942954441
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH CENTERS INC
Practice address
120 W Broadway
Louisville, KY 40202-2110
Phone
(502) 772-8662
NPI assigned
Feb 4, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Bart Irwin
Title
Ceo
Phone
(502) 772-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

120 W Broadway
Louisville, KY 40202-2110

Mailing address

PO Box 950244
Louisville, KY 40295-0244
Phone (502) 953-4700

Other names 1

  • FAMILY HEALTH CENTERS, INC-WAYSIDE HOTEL LOUISVILLE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031121000045 KY Part B Supplier - Clinic/Group Practice 6901700053 Receives reassigned benefits from 82 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Louisville, KY; Fairdale, KY
O20220712003178 KY Part A Provider - Federally Qualified Health Center (FQHC) 6901700053 Practice locations: Louisville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942954441. Details of each certification follow.

Federally qualified health center certification: CCN B01055

Legal name
FAMILY HEALTH CENTERS INC
Doing business as
FAMILY HEALTH CENTERS, INC -WAYSIDE HOTEL LOUISVILLE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 28, 2022
Last certification
Jun 28, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1988 in KY
Enrollment address
120 W Broadway
Louisville, KY 40202-2110

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory
Tax ID family
Family Health Centers Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anna Karina Barillas Individual Corporate DirectorBoard Member Oct 1, 2017
Samuel E. Riddick Individual Corporate OfficerCfo Apr 21, 2014
W-2 Managing EmployeeCfo Apr 1, 2014
Laura Escobar-Ratliff Individual Corporate DirectorBoard Member Jul 1, 2020
Michelle Heuglin Individual Corporate DirectorBoard Member Aug 1, 2005
Veronnie F Jones Individual Corporate DirectorBoard Member Jan 1, 2019
Bart Irwin Individual Corporate OfficerCeo Jul 1, 2021
W-2 Managing Employee Jul 1, 2021
Byron Belton Individual Corporate DirectorBoard Member Mar 1, 2018
Muriel Harris Individual Corporate DirectorBoard Member Jul 1, 2010
Charles Broaddus Individual Corporate DirectorBoard Member Oct 1, 2017
Robert Reh Individual Corporate DirectorBoard Member Mar 1, 2013
Solomon J Parker Individual Corporate DirectorBoard Member Aug 1, 2016
Betty Fox Individual Corporate DirectorBoard Member Jul 1, 2003

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 66

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 66

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1942954441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950244",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950244",
            "telephone_number": "502-953-4700",
            "fax_number": "502-772-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022110",
            "telephone_number": "502-772-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-772-8558"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH CENTERS, INC-WAYSIDE HOTEL LOUISVILLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.