FAMILY HEALTHCARE NETWORK – NPI #1114407244
Clinic/Center

FAMILY HEALTHCARE NETWORK is an AHC clinic located in FRESNO, CA. NPPES has assigned the NPI number 1114407244 to FAMILY HEALTHCARE NETWORK on August 17, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Oct 27, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY HEALTHCARE NETWORK below.

NPI Profile for
FAMILY HEALTHCARE NETWORK

NPI Number
1114407244
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY HEALTHCARE NETWORK
Primary location
2210 E ILLINOIS AVE STE 206
FRESNO, CA 93701-2184
Phone: (559) 737-4700 Fax:
Mailing address
305 E CENTER AVE
VISALIA, CA 93291-6331
Phone: (559) 737-4700 Fax: (559) 734-1247
Organization Subpart
No
Authorized Official
KERRY HYDASH
PRESIDENT & CEO
Phone: (559) 737-4700
Updated
Certification Date
Oct 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
171M00000X
- Case Manager/Care Coordinator

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.