FAMILY HEALTH CARE CENTER (NPI# 1962863324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962863324 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CENTER |
| Practice Address |
726 13th Ave E West Fargo ND 58078-3304 |
| Mailing Address |
301 Np Ave N Fargo ND 58102-4835 |
| Practice Telephone | 7012713344 |
| Practice Fax Number | 7012713347 |
| Mailing Telephone | 7012713344 |
| Mailing Fax Number | 7012713347 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | KATHRYN ROBLEY (MANAGER REVENUE CYCLE) |
| Authorized Official Telephone | 7012713344 |
| Is Organization Subpart | N |
| 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 | 1467396 | 05 |
| 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 |
| 1841701877 | Family Health Care Center | Clinic/Center | 4025 9th Ave S, Fargo, ND 58103-2101 | 2017-10-17 |
| 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 |
726 13TH AVE E |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| 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 |
|---|---|---|---|---|
| 1649761693 | Northland Health Partners Community Health Center | Clinic/Center | 612 4th St East, Williston, ND 58802 | 2018-05-25 |
| 1841701877 | Family Health Care Center | Clinic/Center | 4025 9th Ave S, Fargo, ND 58103-2101 | 2017-10-17 |
| 1114478823 | Community Health Service Inc. | Clinic/Center | 1113 W 11th St, Grafton, ND 58237-2139 | 2016-10-18 |
| 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 |
| 1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
| 1689758039 | Northland Health Partners Community Health Center | Clinic/Center | 401 2nd Ave, Rolette, ND 58366 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on FAMILY HEALTH CARE CENTER.
| 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.