Organization
FAMILY HEALTH CARE CENTER
Active
Parent organization
FAMILY HEALTH CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CARE CENTER
Authorized official
KRISTIN RENZ-JOHNSON (BILLING MANAGER)
(701) 271-1494
Entity
Organization
Contact information
Practice address
715 11TH ST N, SUITE 106B, MOORHEAD, MN 56560-2083
(701) 239-7111
Mailing address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
(701) 551-7533
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459467
—
ND
05
—
468785000
—
MN
Enumeration date
11/06/2006
Last updated
04/03/2024
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