Organization
FAMILY HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRY HYDASH (PRESIDENT & CEO)
(877) 960-3426
Entity
Organization
Contact information
Practice address
401 E SCHOOL AVE, VISALIA, CA 93291
(877) 960-3426
(559) 734-1247
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
(877) 960-3426
(559) 734-1247
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
—
75-1058
MEDICARE ID-TYPE UNSPECIFIED
CA
01
—
ZZZ19552Z
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
01/27/2014
Last updated
10/27/2022
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