Organization
FAMILY HEALTHCARE NETWORK
Active
Organization
FAMILY HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY HYDASH (PRESIDENT & CEO)
(559) 737-4700
Entity
Organization
Contact information
Practice address
3425 N FIRST ST, FRESNO, CA 93726-6821
(877) 960-3426
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
(559) 737-4700
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0-1829
MEDICARE ID - TYPE UNSPECIFIED
CA
01
—
ZZZ19552Z
MEDICARE ID - TYPE UNSPECIFIED
CA
Enumeration date
12/27/2022
Last updated
02/28/2024
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