FAMILY HEALTHCARE NETWORK NPI 1902547789

NPI Information

NPI: 1902547789
Provider Name: FAMILY HEALTHCARE NETWORK
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1344 W CLINTON AVE
FRESNO, CA
ZIP 93705
Phone: (559) 737-4700
Get Directions

FAMILY HEALTHCARE NETWORK is a federally qualified health center (fqhc) clinic center in Fresno, CA. FAMILY HEALTHCARE NETWORK NPI is 1902547789. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1344 W CLINTON AVE
FRESNO, CA
ZIP 93705-805
Phone: (559) 737-4700
Fax: (559) 741-8414

The provider's authorized official is Kerry L Hydash .
The authorized official title is President & Ceo and has the following contact phone number (559) 737-4700.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 2/28/2024.

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	171M00000X	Case Manager/Care Coordinator				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	A0-1183	OTHER	CALIFORNIA	MEDICARE ID - TYPE UNSPECIFIED
2	ZZZ19552Z	OTHER	CALIFORNIA	MEDICARE ID - TYPE UNSPECIFIED
3	A01183	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: 4/28/2024

NPI Synchronization or Removal

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