Provider Demographics
NPI:1942718945
Name:HEALTH PARTNERSHIP CLINIC, INC.
Entity Type:Organization
Organization Name:HEALTH PARTNERSHIP CLINIC, INC.
Other - Org Name:HEALTH PARTNERSHIP CLINIC - MERRIAM PARK ELEMENTARY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-433-7583
Mailing Address - Street 1:405 S. CLAIRBORNE RD
Mailing Address - Street 2:2
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1744
Mailing Address - Country:US
Mailing Address - Phone:913-730-3674
Mailing Address - Fax:913-768-1944
Practice Address - Street 1:6100 MASTIN ST
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66203-3252
Practice Address - Country:US
Practice Address - Phone:913-648-2266
Practice Address - Fax:913-768-1944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
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)