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
927 CENTER STREET, PIXLEY, CA 93256
(559) 737-4700
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-1935
MEDICARE-ID-TYPE UNSPECIFIED
CA
01
—
CA251452
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
11/01/2016
Last updated
04/26/2022
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