Organization
FAMILY HEALTH CARE CENTER
Active
Organization
FAMILY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ROBLEY (MANAGER REVENUE CYCLE)
(701) 239-2286
Entity
Organization
Contact information
Practice address
901 8TH ST. S, CONCORDIA HEALTH SERVICES, MOORHEAD, MN 56560
(218) 299-3662
Mailing address
P.O. BOX 2625, FARGO, ND 58102
(701) 271-3344
(701) 271-3343
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322883500
—
MN
Enumeration date
11/06/2006
Last updated
03/21/2018
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