Organization
FAMILY HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY LYNN HYDASH (PRESIDENT & CEO)
(559) 737-4700
Entity
Organization
Contact information
Practice address
2315 E ILLINOIS AVE, FRESNO, CA 93701-2219
(559) 737-4700
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-1167
MEDICARE ID-TYPE UNSPECIFED
CA
Enumeration date
05/15/2019
Last updated
10/31/2022
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