Organization
FAMILY HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRY HYDASH (PRESIDENT CEO)
(559) 737-4731
Entity
Organization
Contact information
Practice address
12586 AVENUE 408, OROSI, CA 93647-9454
(559) 528-2804
(559) 528-7623
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
120000651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-1820
MEDICARE ID-TYPE UNSPECIFIED
CA
01
—
CA197464
MEDICARE IF-TYPE UNSPECIFIED
CA
05
—
FHC70922F
—
CA
Enumeration date
10/04/2006
Last updated
10/31/2022
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