FAMILY HEALTHCARE NETWORK NPI 1083611156

NPI Information

NPI: 1083611156
Provider Name: FAMILY HEALTHCARE NETWORK
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1107 W POPLAR AVE
PORTERVILLE, CA
ZIP 93257
Phone: (559) 781-7242
Get Directions

FAMILY HEALTHCARE NETWORK is a federally qualified health center (fqhc) clinic center in Porterville, CA. FAMILY HEALTHCARE NETWORK NPI is 1083611156. The provider is registered as an organization entity type.

The provider's business location address is:

1107 W POPLAR AVE
PORTERVILLE, CA
ZIP 93257-839
Phone: (559) 781-7242
Fax: (559) 782-8259

The provider's authorized official is Kerry Hydash .
The authorized official title is President Ceo and has the following contact phone number (559) 737-4731.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 2/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	120000590	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC03905F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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