Organization
FAMILY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KATHRYN ROBLEY (REVENUE CYCLE MANAGER)
(701) 239-2286
Entity
Organization
Contact information
Practice address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3332
(701) 271-3349
Mailing address
P.O. BOX 2625, FARGO, ND 58102
(701) 271-3344
(701) 271-3343
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459654
—
ND
05
—
148216500
—
MN
Enumeration date
11/14/2006
Last updated
03/21/2018
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