Organization
FAMILY HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRY HYDASH (PRESIDENT CEO)
(559) 737-4777
Entity
Organization
Contact information
Practice address
31180 ROAD 72, GOSHEN, CA 93227-9997
(559) 651-2301
(559) 651-2301
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
(559) 737-4700
(559) 734-1247
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
120000670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71057F
—
CA
Enumeration date
10/10/2006
Last updated
10/27/2022
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