Healthcare Provider Details

I. General information

NPI: 1346820958
Provider Name (Legal Business Name): HEALTH PARTNERSHIP CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 04/09/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 S CLAIRBORNE RD STE 207
OLATHE KS
66062-1744
US

IV. Provider business mailing address

405 S CLAIRBORNE RD STE 2
OLATHE KS
66062-1774
US

V. Phone/Fax

Practice location:
  • Phone: 913-648-2266
  • Fax: 913-768-1988
Mailing address:
  • Phone: 913-730-3674
  • Fax: 913-768-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY FALK
Title or Position: CEO
Credential:
Phone: 913-433-7583