FAMILY HEALTH CARE CENTER (NPI# 1841701877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841701877 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CENTER |
| Other Organization Name | FAMILY HEALTHCARE SOUTH |
| Practice Address |
4025 9th Ave S Fargo ND 58103-2101 |
| Mailing Address |
Po Box 2625 Fargo ND 58108-2625 |
| Practice Telephone | 7012713344 |
| Mailing Telephone | 7012713344 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | KATHRYN ROBLEY (MANAGER REVENUE CYCLE) |
| Authorized Official Telephone | 7012392286 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1472788 | 05 |
| Other Name | Type Code |
|---|---|
| Family HealthCare South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162434 | Family Health Care Center | Clinic/Center | 1104 7th Ave S # 92, Moorhead, MN 56563-0001 | 2019-03-04 |
| 1235632720 | Family Health Care Center | Respite Care | 6560 Backlick Rd Ste 210, Springfield, VA 22150-2806 | 2018-03-12 |
| 1962863324 | Family Health Care Center | Clinic/Center | 726 13th Ave E, West Fargo, ND 58078-3304 | 2016-03-14 |
| 1366879561 | Family Health Care Center | Podiatrist | 10138 Garvey Ave Ste D, El Monte, CA 91733-5002 | 2013-10-02 |
| 1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
| 1801965967 | Family Health Care Center | Clinic/Center | 715 11th St N, Suite 106b, Moorhead, MN 56560-2083 | 2006-11-06 |
| 1043389117 | Family Health Care Center | Clinic/Center | 901 8th St. S, Concordia Health Services, Moorhead, MN 56560 | 2006-11-06 |
| 1205855988 | Family Health Care Center | Clinic/Center | 23702 Highway 80 East, Statesboro, GA 30458 | 2006-07-19 |
| 1750876124 | Family Health Care Center | Clinic/Center | 415 2nd Ave Ne Ste 101, Valley City, ND 58072-3060 | 2018-06-27 |
| 1154493856 | Family Health Care Center | Clinic/Center | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2006-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FAMILY HEALTH CARE CENTER OF HIGHLAND, P.C. | 3747 45th Ave, Highland, IN 46322 |
| Connecticut Business Registrations | FAMILY HEALTH CARE CENTER OF NEWTOWN, LLC | 33 Church Hill Road, Newtown, CT 06470 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC. | 81 Hillcrest Drive, Punxsutawney, PA 15767-2605 |
| New York State Corporations | FAMILY HEALTH CARE CENTERS MANAGEMENT COMPANY, L.L.C. | A.m.c. Legal Dept. (a-104), New Scotland Avenue, Albany, New York 12208 |
| Street Address |
4025 9TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972000768 | North Dakota State University | Pharmacy | 4025 9th Ave S, Fargo, ND 58103-2101 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
| 1710066352 | Family Health Care Center | Clinic/Center | 301 Np Ave N, Fargo, ND 58102-4835 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649761693 | Northland Health Partners Community Health Center | Clinic/Center | 612 4th St East, Williston, ND 58802 | 2018-05-25 |
| 1114478823 | Community Health Service Inc. | Clinic/Center | 1113 W 11th St, Grafton, ND 58237-2139 | 2016-10-18 |
| 1962863324 | Family Health Care Center | Clinic/Center | 726 13th Ave E, West Fargo, ND 58078-3304 | 2016-03-14 |
| 1841658887 | Coal Country Community Health Center | Clinic/Center | 510 8th Ave Nw, Hazen, ND 58545-4638 | 2016-02-05 |
| 1679958755 | Northland Health Partners Community Health Center | Clinic/Center | 24 Railroad Ave Ste 16, Ray, ND 58849 | 2015-07-30 |
| 1629481841 | Northland Health Partners Community Health Center | Clinic/Center | 15 2nd Ave Sw Ste 110, Minot, ND 58701 | 2014-06-05 |
| 1174866271 | Northland Health Partners Community Health Center | Clinic/Center | 18 Main St Sw Ste B, Bowbells, ND 58721 | 2013-03-27 |
| 1689878324 | Spectra Health | Clinic/Center | 212 S 4th St, Suite 101, Grand Forks, ND 58201-4777 | 2007-06-14 |
| 1689758039 | Northland Health Partners Community Health Center | Clinic/Center | 401 2nd Ave, Rolette, ND 58366 | 2006-10-24 |
| 1255317905 | Spectra Health | Clinic/Center | 607 Towner Ave, Larimore, ND 58251 | 2005-12-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.