MEDICARE: FAMILY HEALTH CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1164356861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH CENTERS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 950244
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40295-0244
Country	:	US
Telephone Number	:	502-772-8561
Fax Number	:

Provider Business Practice Location Address
First Line	:	6415 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40228-1817
Country	:	US
Telephone Number	:	502-774-8631
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	SAMUEL RIDDICK
Credential	:
Telephone Number	:	502-772-8561

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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