SHAWNEE CHRISTIAN HEALTHCARE CENTER INC
NPI 1225333743
Clinic/Center - Federally Qualified Health Center (FQHC) in Louisville, KY

Q: What is Shawnee Christian Healthcare Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since January 13, 2011

234 AMY AVE, LOUISVILLE, KY 40212(502) 778-0001 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2024, Jul 12, 2024, Jun 16, 2016 (3 updates tracked since 2016).

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About Shawnee Christian Healthcare Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNEE CHRISTIAN HEALTHCARE CENTER INC (NPI 1225333743) is a healthcare organization registered as a federally qualified health center (fqhc) in Louisville, Kentucky and active in the NPI registry since January 2011. The organization lists Kirstie Matzek, President, as its authorized official.

NPPES Registry Identity

NPI1225333743

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSHAWNEE CHRISTIAN HEALTHCARE CENTER INC

Location Address234 AMY AVELouisville, KY 40212-2522

Mailing Address234 Amy AveLouisville, KY 40212-2522 · (502) 778-0001

Phone(502) 778-0001

Organization SubpartNo

Authorized OfficialKirstie MatzekPresident · (502) 778-0001

Enumeration DateJanuary 13, 2011

Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1225333743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in KY · LAL000152

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

234 AMY AVE, Louisville, KY 40212

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Other Identifiers 1

Medicaid7100150090KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawnee Christian Healthcare Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 15 clinicians reassign Medicare billing to Shawnee Christian Healthcare Center Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner7

Dentist3

Clinical Social Worker2

Emergency Medicine1

Family Practice1

General Practice1