NPIMap

Organization Active NPI

Family Care Network PLLC

  • Family Medicine Physician
  • Mount Vernon, WA
National Provider Identifier
1104140318
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY CARE NETWORK PLLC
Practice address
916 S 3Rd St
Mount Vernon, WA 98273-4324
Phone
(360) 336-5658
Fax
(360) 336-5655
NPI assigned
Mar 16, 2010
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, MD
Title
Ceo
Phone
(360) 318-8800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

916 S 3Rd St
Mount Vernon, WA 98273-4324

Mailing address

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

Other names 3

  • Family Care Network Mount Vernon Family Health Doing business as
  • Mount Vernon Family Medicine Doing business as
  • Skagit Family Health Clinic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000176 WA Part B Supplier - Clinic/Group Practice 0446142046 Receives reassigned benefits from 127 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Vernon, WA; Lynden, WA; Blaine, WA; Bellingham, WA; Anacortes, WA

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1006346Mount Vernon Family Health916 S 3Rd St, Mount Vernon, WA 98273Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Family Care Network32 organizations share this tax ID, including this one
Part of
Family Care Network

Other organizations with this tax ID 31

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

View all 31

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1104140318",
    "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": "916 S 3RD ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734324",
            "telephone_number": "360-336-5658",
            "fax_number": "360-336-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE NETWORK PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CARE NETWORK PLLC",
        "enumeration_date": "2010-03-16",
        "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": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Network Mount Vernon Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Vernon Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skagit Family Health Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.