| Family Healthcare Network | |
|
330 E Pine St Exeter CA 93221-1838 | |
| (559) 737-4700 | |
| (559) 734-1247 |
| Full Name | Family Healthcare Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 E Pine St, Exeter, California |
| Authorized Official Name and Position | Kerry Hydash (PRESIDENT & CEO) |
| Authorized Official Contact | 5597374700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Network 305 E Center Ave Visalia CA 93291-6331 Ph: (559) 737-4700 | Family Healthcare Network 330 E Pine St Exeter CA 93221-1838 Ph: (559) 737-4700 |
| NPI Number | 1699337949 |
|---|---|
| Provider Enumeration Date | 07/07/2019 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 6305756339 |
|---|---|
| Medicare Enrollment ID | O20200423001609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699337949 | NPI | - | NPPES |
| 92-1870 | Other | CA | MEDICARE ID-TYPE UNSPECIFIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
Kaweah Health Exeter Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1014 San Juan Ave, Exeter, CA 93221 Phone: 559-624-2000 Fax: 559-713-2356 |
San Joaquin Prime Care Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 E Pine St, Exeter, CA 93221 Phone: 559-592-2134 Fax: 559-592-5017 |
Rocky Hill Wellness and Aesthetics Nursing Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 E Pine St, Exeter, CA 93221 Phone: 559-772-2983 |
Omni Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 W Visalia Rd Ste 102, Exeter, CA 93221 Phone: 866-707-6664 Fax: 661-746-9197 |
Shyam Bhaskar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Maple St, Exeter, CA 93221 Phone: 559-592-6039 Fax: 559-635-7106 |
Rulon Douglas Owen DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 N Kaweah Ave, Exeter, CA 93221 Phone: 559-592-3889 |