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Organization
FAMILY HEALTHCARE NETWORK
Active
Organization
FAMILY HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY L. HYDASH (PRESIDENT & CEO)
(559) 737-4700
Entity
Organization
Contact information
Practice address
1008 N CHERRY ST, TULARE, CA 93274-2212
(559) 737-4700
(559) 734-1247
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
(559) 737-4700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-1138
MEDICARE ID-TYPE UNSPECIFIED
CA
01
—
TUPFHCN26
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
04/19/2016
Last updated
10/27/2022
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