MARTIN LUTHER KING JR FAMILY CLINIC – NPI #1851492557
Clinic/Center
MARTIN LUTHER KING JR FAMILY CLINIC is an AHC clinic located in DALLAS, TX. NPPES has assigned the NPI number 1851492557 to MARTIN LUTHER KING JR FAMILY CLINIC on September 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 11 years ago on Apr 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARTIN LUTHER KING JR FAMILY CLINIC below.
NPI Profile for
MARTIN LUTHER KING JR FAMILY CLINIC
(more than 19 years ago)
BUILDING B
DALLAS, TX 75215-2321 Phone: (214) 426-3645 Fax: (214) 446-2018
CHIEF EXECUTIVE OFFICER
Phone: (214) 426-3645
Identifiers for MARTIN LUTHER KING JR FAMILY CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS BLUE SHIELD | TX | QQ04 |
| OTHER | MEDICARE PTAN | TX | TXB104577 |
| OTHER | UNICARE | 183600 | |
| MEDICAID | TX | 130713408 | |
| MEDICAID | TX | 130713412 | |
| MEDICAID | TX | 130713404 | |
| MEDICAID | TX | 1949 | |
| MEDICAID | TX | 130713406 | |
| MEDICAID | TX | 130713409 | |
| MEDICAID | TX | 130713410 | |
| MEDICAID | TX | 183600 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.