FAMILY HEALTH CARE CENTER NPI 1841701877

NPI Information

NPI: 1841701877
Provider Name: FAMILY HEALTH CARE CENTER

Doing Business As: FAMILY HEALTHCARE SOUTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4025 9TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 271-3344
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FAMILY HEALTH CARE CENTER is a federally qualified health center (fqhc) clinic center in Fargo, ND. FAMILY HEALTH CARE CENTER NPI is 1841701877. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Healthcare South.

The provider's business location address is:

4025 9TH AVE S
FARGO, ND
ZIP 58103-101
Phone: (701) 271-3344

The provider's authorized official is Kristin Renz-johnson .
The authorized official title is Manager Revenue Cycle and has the following contact phone number (701) 271-1494.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 4/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1472788	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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