FAMILY HEALTH CENTER EAST BROADWAY
NPI 1134172489
Clinic/Center - Federally Qualified Health Center (FQHC) in Louisville, KY

NPI Status: Active since May 18, 2006

Contact Information

834 E BROADWAY
LOUISVILLE, KY
ZIP 40204
Phone: (502) 583-1981
Fax: (502) 568-1856

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 18D2296423
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 12-27-2025

About FAMILY HEALTH CENTER EAST BROADWAY

This page provides the complete NPI Profile along with additional information for Family Health Center East Broadway, a primary care provider established in Louisville, Kentucky operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1134172489 assigned on May 2006. The practitioner's primary taxonomy code is 261QF0400X with license number 700013 (KY). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Family Health Center East Broadway. The authorized official of this NPI record is Mr. Bart Irwin (Ceo (interim))

NPI
1134172489
Provider Legal Name
FAMILY HEALTH CENTERS, INC.
Other Organization Name
FAMILY HEALTH CENTER EAST BROADWAY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
834 E BROADWAY LOUISVILLE, KY 40204
Location Phone
(502) 583-1981
Location Fax
(502) 568-1856
Mailing Address
PO BOX 950244 LOUISVILLE, KY 40295
Mailing Phone
(502) 953-4700
Mailing Fax
(502) 568-1856
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2006
Last Update Date
07-16-2021
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A primary care provider (PCP) like Family Health Center East Broadway sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
700013
License State
KY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BART IRWIN

Authorized Official Title
CEO (INTERIM)
Authorized Official Phone
(502) 774-8631

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
31000052MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2296423
Facility Type
Federally Qualified Health Center
Certificate Effective Date
December 28, 2023
Certificate Expiration Date
December 27, 2025
Laboratory Director
MS. DOROTHY NILEST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Family Health Center East Broadway to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FAMILY HEALTH CENTER EAST BROADWAY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134172489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164274416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 7 + 4 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1134172489 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427402882 KENNETH PARSONS R. PH.
Individual
Pharmacist834 E BROADWAY
LOUISVILLE, KY 40204
(502) 290-2828
1396791208LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Organization
Ambulance (Land Transport)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 574-4245
1285043935FAMILY HEALTH CENTERS, INC.
Organization
Pharmacy (Community/Retail Pharmacy)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 290-2828
1902854334 KEVIN B SPICER M.D.
Individual
Pediatrics834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1043779895 MARY ALANE SALLEE APRN
Individual
Nurse Practitioner (Family)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1487063137 NGOC UYEN V NGUYEN
Individual
Social Worker (Clinical)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1457630824 ERIN R. RIEDEL LCSW
Individual
Social Worker (Clinical)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1407522147 KELLEE LYNN DUKE APRN
Individual
Nurse Practitioner (Family)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1457523532 AISHA ALI MD
Individual
Pediatrics834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1710675707 CHARLES KLEYMEYER WELSH LCSW
Individual
Social Worker (Clinical)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1881445518 AMANDA K GULLION WHNP
Individual
Nurse Practitioner834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1790555829 SARAH MARGARET COHRON APRN-CNP
Individual
Nurse Practitioner (Family)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1649799040 EMMALEE R BURNS APRN
Individual
Nurse Practitioner (Family)834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981
1831779016DR. PAOLA MARIA GALAN VILLAR MD
Individual
Pediatrics834 E BROADWAY
LOUISVILLE, KY 40204
(502) 583-1981

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134172489, enumerated in the NPI registry as an "organization" on May 18, 2006

The provider is located at 834 E Broadway Louisville, Ky 40204 and the phone number is (502) 583-1981

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 18D2296423 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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