Provider Demographics
NPI:1235773714
Name:HEALTH PARTNERSHIP CLINIC, INC.
Entity Type:Organization
Organization Name:HEALTH PARTNERSHIP CLINIC, INC.
Other - Org Name:HEALTH PARTNERSHIP CLINIC - OLATHE EAST HIGH SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF BILLING & PATIENT SVCS
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE-TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-730-3674
Mailing Address - Street 1:405 S CLAIRBORNE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1774
Mailing Address - Country:US
Mailing Address - Phone:913-648-2266
Mailing Address - Fax:913-768-1944
Practice Address - Street 1:14545 W 127TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1486
Practice Address - Country:US
Practice Address - Phone:913-648-2266
Practice Address - Fax:913-768-1944
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH PARTNERSHIP CLINIC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-29
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200852450KMedicaid