Organization
FIRST CARE CLINIC, INC.
Active
Parent organization
FIRST CARE CLINIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CARE CLINIC, INC.
Authorized official
BRYAN R BRADY (CEO)
(785) 621-4990
Entity
Organization
Contact information
Practice address
208 MARC WAGNER DR, VICTORIA, KS 67671-9589
(785) 621-4990
(785) 628-8719
Mailing address
105 W 13TH ST, HAYS, KS 67601-3613
(785) 621-4990
(785) 628-8719
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200603010B
—
KS
Enumeration date
08/12/2015
Last updated
01/27/2020
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