NPIMap

Organization Active NPI

Family Care Network PLLC

Doing business as Blaine Family Medicine

  • Rural Health Clinic/Center
  • Blaine, WA
National Provider Identifier
1013049766
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAMILY CARE NETWORK PLLC
Doing business as
Blaine Family Medicine
Practice address
861 Grant Ave
Blaine, WA 98230-5186
Phone
(360) 371-5855
Fax
(360) 371-5857
NPI assigned
Mar 9, 2007
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY CARE NETWORK PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rodney Anderson, MDNPI 1841468600
Title
Ceo
Phone
(360) 318-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

861 Grant Ave
Blaine, WA 98230-5186

Mailing address

3610 Meridian St
Bellingham, WA 98225-1732
Phone (360) 318-8800

Other names 2

  • Blaine Family Medicine Doing business as
  • Birch Bay Family Medicine Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000962 WA Part A Provider - Rural Health Clinic 0446142046 Practice locations: Blaine, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013049766. Details of each certification follow.

Rural health clinic certification: CCN 503905

Legal name
FAMILY CARE NETWORK, PLLC
Doing business as
FAMILY CARE NETWORK BIRCH BAY FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 16, 2006
Last certification
Sep 9, 2024
Ownership / control type
1B
Organization structure
OtherProprietary
Enrollment address
8097 Harborview Rd
Blaine, WA 98230-9639

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Family Care Network PLL33 organizations share this tax ID, including this one
Part of
Family Care Network PLL

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rodney J Anderson Individual Corporate OfficerPresident May 1, 2019
Operational/Managerial Control May 1, 2019
Keith E Arnzen Individual W-2 Managing EmployeeCfo Nov 28, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1013049766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 MERIDIAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251732",
            "telephone_number": "360-318-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 GRANT AVE",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982305186",
            "telephone_number": "360-371-5855",
            "fax_number": "360-371-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE NETWORK PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CARE NETWORK PLLC",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-318-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaine Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Birch Bay Family Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Blaine, WA

Sources for this page

Verify at the official NPI Registry.