Martin Luther King Jr Family Clinic in Dallas - Federally Qualified Health Center (fqhc)
Martin Luther King Jr Family Clinic - NPI 1851492557
Martin Luther King Jr Family Clinic is a Federally Qualified Health Center (fqhc) in Dallas, Texas. Martin Luther King Jr Family Clinic practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Martin Luther King Jr Family Clinic is 1851492557. The last update date is 2015-04-08.
Martin Luther King Jr Family Clinic's current location address is 2922 Martin Luther King Jr Blvd, Dallas, Texas. You can contact this provider via phone number 2144263645 and fax number 2144462018. The mailing address for Martin Luther King Jr Family Clinic is 2922 Martin Luther King Jr Blvd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Martin Luther King Jr Family Clinic |
|---|---|
| Address | 2922 Martin Luther King Jr Blvd, Dallas, Texas |
| Phone Number | 2144263645 |
| Fax Number | 2144462018 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Tapley Joyce |
| Credentials | CEO |
| Telephone Number | 2144263645 |
NPI Number Detail
| NPI Number | 1851492557 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2015-04-08 |
Provider Mailing Address Detail
| Address | 2922 Martin Luther King Jr Blvd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752152321 |
| Phone Number | 2144263645 |
| Fax Number | 2144462018 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130713406 | TX | -- | |
| 130713412 | TX | -- | |
| 183600 | TX | -- | |
| TXB104577 | TX | MEDICARE PTAN | |
| 130713404 | TX | -- | |
| 130713410 | TX | -- | |
| 183600 | UNICARE | ||
| 130713409 | TX | -- | |
| QQ04 | TX | BLUE CROSS BLUE SHIELD | |
| 130713408 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Martin Luther King Jr Family Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Martin Luther King Jr Family Clinic has been assigned the NPI (National Provider Identifier) 1851492557. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Martin Luther King Jr Family Clinic is located?
The Martin Luther King Jr Family Clinic is situated at the following address: 2922 Martin Luther King Jr Blvd, Dallas, TX, 752152321.
What is the area of specialization for Martin Luther King Jr Family Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Martin Luther King Jr Family Clinic is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851492557 to Martin Luther King Jr Family Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1851492557 to Martin Luther King Jr Family Clinic on 2006-09-26.
As of what date was the information regarding Martin Luther King Jr Family Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Martin Luther King Jr Family Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-08.