Organization Active NPI

Family Health Center

  • Specialist
  • Derby, KS
National Provider Identifier
1962558395
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0417161 Issued in KS
Legal business name
FAMILY HEALTH CENTER
Practice address
1410 N Woodlawn Blvd
Suite a
Derby, KS 67037-2922
Phone
(316) 788-3741
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Mark Neil Vinzant, M.D.
Title
Medical Director
Phone
(316) 788-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0417161 KS Primary

Addresses

Primary practice location

1410 N Woodlawn Blvd
Suite a
Derby, KS 67037-2922

Mailing address

1410 N Woodlawn Blvd
Suite a
Derby, KS 67037-2922
Phone (316) 788-3741

Other identifiers 1

IdentifierTypeStateIssuer
016429OtherKSMEDICARE GROUP #

National Provider Directory

National Provider Directory

Locations

1410 N Woodlawn Blvd
Ste A
Derby, KS 67037
Phone (316) 788-3741

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1962558395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD",
            "address_2": "SUITE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372922",
            "telephone_number": "316-788-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD",
            "address_2": "SUITE A",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372922",
            "telephone_number": "316-788-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "VINZANT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "316-788-3741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "0417161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "016429",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.