| Family Health Care Center | |
|
726 13th Ave E West Fargo ND 58078-3304 | |
| (701) 271-3344 | |
| (701) 271-3347 |
| Full Name | Family Health Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 726 13th Ave E, West Fargo, North Dakota |
| Authorized Official Name and Position | Kathryn Robley (MANAGER REVENUE CYCLE) |
| Authorized Official Contact | 7012713344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Center 301 Np Ave N Fargo ND 58102-4835 Ph: (701) 271-3344 | Family Health Care Center 726 13th Ave E West Fargo ND 58078-3304 Ph: (701) 271-3344 |
| NPI Number | 1962863324 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/21/2018 |
| Medicare PECOS PAC ID | 1658283650 |
|---|---|
| Medicare Enrollment ID | O20170801003462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962863324 | NPI | - | NPPES |
| 1467396 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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