Organization
FAMILY HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRY HYDASH (PRESIDENT & CEO)
(559) 737-4731
Entity
Organization
Contact information
Practice address
730 N FARMERSVILLE BLVD, FARMERSVILLE, CA 93223-1220
(559) 747-1470
(559) 747-1478
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
(559) 737-4700
(559) 737-4911
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-1116
MEDICARE ID-TYPE UNSPECIFIED
CA
01
—
ZZZ1955Z
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
12/29/2011
Last updated
10/27/2022
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