Active NPI
Family Healthcare Network
- Federally Qualified Health Center (FQHC)
- Hanford, CA
On this page
- Key facts
- Authorized official
- Other NPIs on the same Medicare enrollment35
- Practitioners43
- Medicare participation
- Federally qualified health center certification: CCN 051091
- All disclosed owners & managing parties12
- All facility ownership & control disclosures15
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers1
- Electronic endpoints1
- NPI Registry JSON
- Other providers in Hanford, CA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 550000368
- Legal business name
- FAMILY HEALTHCARE NETWORK
- Practice address
- 250 W 5TH St
Hanford, CA 93230 - Phone
- (559) 587-4532
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Kerry Hydash
- Title
- Presiden Ceo
- Phone
- (559) 737-4731
Other NPIs on the same Medicare enrollment 35
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Pixley, CA
- NPI 1033661558
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1053875484
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Tulare, CA
- NPI 1073997201
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1083611156
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1114407244
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Farmersville, CA
- NPI 1174175012
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1225546575
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1295478212
O20040123000681
-
- Federally Qualified Health Center (FQHC)
- Farmersville, CA
- NPI 1326317819
O20040123000681
Practitioners 43
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hanford, CA
- NPI 1942879283
-
- Physician Assistant
- Emeryville, CA
- NPI 1437620366
-
- Mental Health Counselor
- Dinuba, CA
- NPI 1205118809
-
- Obstetrics & Gynecology Physician
- Hanford, CA
- NPI 1851732622
-
- Pediatrics Physician
- Hanford, CA
- NPI 1851742290
-
- Family Nurse Practitioner
- Palo Alto, CA
- NPI 1861630899
-
- Physician Assistant
- Hanford, CA
- NPI 1992761449
-
- Family Nurse Practitioner
- Hanford, CA
- NPI 1780233916
-
- Physician Assistant
- San Francisco, CA
- NPI 1124489877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123000681 | CA | Part B Supplier - Clinic/Group Practice | 6305756339 |
Receives reassigned benefits from 429 practitioners 35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Reedley, CA; Ivanhoe, CA; Selma, CA; Springville, CA; Squaw Valley, CA; Strathmore, CA; Terra Bella, CA; Three Rivers, CA… |
| O20070227000689 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 6305756339 | Practice locations: Hanford, CA |
Federally qualified health center certification: CCN 051091
Medicare enrollment files- Legal name
- FAMILY HEALTHCARE NETWORK
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 13, 2007
- Last certification
- Jun 13, 2007
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Jun 29, 1978 in CA
- Enrollment address
- 250 W 5TH St
Hanford, CA 93230-5029
All disclosed owners & managing parties 12
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kerry Hydash | Corporate Officer | Apr 23, 2013 | 100% |
| Corporate Director | Apr 23, 2013 | 100% | |
| W-2 Managing Employee | Apr 23, 2013 | 100% | |
| Emzy Cope | Corporate Director | Feb 21, 2007 | |
| Chad Vawter | Corporate Officer | Apr 23, 2013 | |
| Michael Botello | Corporate Director | Feb 21, 2007 | |
| Olivia Gamboa | Corporate Director | Feb 21, 2007 | |
| Teresa de la Rosa | Corporate Director | Jan 1, 2013 | |
| Susan Manuel | Corporate Director | Nov 28, 2018 | |
| John Zapalac | Corporate Director | Jan 1, 2013 | |
| Minnetta Costa | Corporate Director | Nov 26, 2011 | |
| Maria Gonzalez | Corporate Director | Feb 21, 2007 | |
| Michelle Cano-Dewees | Corporate Director | Mar 1, 2016 | |
| Sandra Miller | Corporate Director | Oct 1, 2014 |
All facility ownership & control disclosures 15
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 29, 2019 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 1978 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 7, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 29, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 20, 2020 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 23, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 30, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 9, 2019 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Sep 16, 2019 |
| Family Healthcare Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2013 Mar 1, 2024 |
| Family Healthcare Network | Federally qualified health center | Operational/Managerial Control (100%) | Jan 30, 2024 |
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | 550000368 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
250 W 5TH St
Hanford, CA 93230
Mailing address
305 E Center Ave
Visalia, CA 93291-6331
Phone (559) 737-4700
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC71170F | Medicaid | CA |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | managedcare@fhcn.org | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2022.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1467504530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331",
"telephone_number": "559-737-4700",
"fax_number": "559-734-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 5TH ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "93230",
"telephone_number": "559-587-4532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHCARE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "HYDASH",
"authorized_official_first_name": "KERRY",
"authorized_official_title_or_position": "PRESIDEN CEO",
"authorized_official_telephone_number": "559-737-4731",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": "550000368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC71170F",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "managedcare@fhcn.org",
"affiliation": "N",
"endpointDescription": "Managed Care",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "250 W 5th St",
"city": "Hanford",
"state": "CA",
"country_code": "US",
"postal_code": "93230",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.