HEART OF KANSAS FAMILY HEALTH CARE, INC.
NPI 1154136612
Clinic/Center - Federally Qualified Health Center (FQHC) in Great Bend, KS

NPI Status: Active since February 11, 2025

Contact Information

1910 18TH ST
GREAT BEND, KS
ZIP 67530
Phone: (620) 792-5700
Fax: (855) 463-0851

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 17D2140441
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 11-20-2027

About HEART OF KANSAS FAMILY HEALTH CARE, INC.

This page provides the complete NPI Profile along with additional information for Heart Of Kansas Family Health Care, Inc., a primary care provider established in Great Bend, Kansas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1154136612 assigned on February 2025. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated May 2026. Heart Of Kansas Family Health Care, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Freddy Gunn (Cfo)

NPI
1154136612
Provider Name
HEART OF KANSAS FAMILY HEALTH CARE, INC.
Entity Type
Organization
Location Address
1910 18TH ST GREAT BEND, KS 67530
Location Phone
(620) 792-5700
Location Fax
(855) 463-0851
Mailing Address
1905 19TH ST GREAT BEND, KS 67530
Mailing Phone
(620) 792-5700
Mailing Fax
(855) 463-0851
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2025
Last Update Date
05-08-2026
Code Navigator

A primary care provider (PCP) like Heart Of Kansas Family Health Care, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
2363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FREDDY GUNN

Authorized Official Title
CFO
Authorized Official Phone
(620) 792-5700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D2140441
Facility Type
Federally Qualified Health Center
Certificate Effective Date
November 21, 2025
Certificate Expiration Date
November 20, 2027
Laboratory Director
DR. JEAN PRINGLE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Heart Of Kansas Family Health Care, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154136612, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 2 + 3 + 1 + 2 + 6 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154136612.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154136612, enumerated as an "organization" on February 11, 2025.

The provider is located at 1910 18TH ST GREAT BEND, KS 67530 and the phone number is (620) 792-5700.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).