Family Health Care Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Lamoure, ND
NPI 1689350415 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1689350415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- FAMILY HEALTH CARE CENTER
- Practice address
- 100 1St Ave SW
Lamoure, ND 58458-7415 - Phone
- (701) 271-3344
- NPI assigned
- Jun 26, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- FAMILY HEALTH CARE CENTER
Authorized official
- Name
- Margaret Asheim
- Title
- Ceo
- Phone
- (701) 551-2442
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Practitioners 28
-
Tanya Baity, APRN CNM
-
Meghan Ann Dockter, CNM
-
Melissa Marie Fofana, FNP-C
-
Sarah Frauenberg, DNP, FNP-C
-
Nicholas Henry Frederiksen, APRN,CNP
-
Kirsten Fredrick, LPCC
-
Kayli Irvis, APRN, FNP-C
-
James Kappenman, M.D.
-
Elizabeth Mehus-Waller, NP-C
-
Anna Joy Miller, O.D.
-
Kelly Anne Polcher, DNP, APRN, FNP-C
-
Amy Shultz, DNP, APRN, FNP-C
-
Mary L Sprague, FNP-C
-
Katelyn Swenson, APRN, FNP-C
-
Erika Lynne Yoney, APRN
-
Kara Ann Kniert, DNP, APRN, FNP-C
-
Hafsa Musa, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND
Federally qualified health center certification: CCN 351000
- Legal name
- FAMILY HEALTH CARE CENTER
- Doing business as
- FAMILY HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 14, 2023
- Last certification
- Nov 14, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 30, 1999 in ND
- Enrollment address
- 100 1St Ave SW
Lamoure, ND 58458-7415
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Melissa Longtine |
Corporate Director |
Nov 1, 2016 | |
| Steve Skoblik |
Corporate Director |
Nov 1, 2016 | |
| Janet Drechsel |
Corporate Director |
Nov 1, 2020 | |
| Patrick Gulbranson |
Corporate Officer |
Oct 29, 2012 | |
| W-2 Managing Employee |
Oct 29, 2012 | ||
| Deborah Schaefer Kukowski |
Corporate Director |
Nov 1, 2015 | |
| Saurav Dahal |
Corporate Director |
Nov 1, 2020 | |
| Tonya Sirleaf |
Corporate Director |
Nov 1, 2020 | |
| Melvin Whitney |
Corporate Director |
Nov 1, 2020 | |
| Margaret Asheim |
Corporate Officer |
Apr 17, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031217000272 | ND | Part B Supplier - Clinic/Group Practice | 1658283650 |
Receives reassigned benefits from 38 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fargo, ND; Valley City, ND; Lamoure, ND |
| O20231206000421 | ND | Part a Provider - Federally Qualified Health Center (FQHC) | 1658283650 | Practice locations: Lamoure, ND |
National Provider Directory
- Tax ID family
- Family Healthcare Center
- Part of
- Family Healthcare Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
100 1St Ave SW
Lamoure, ND 58458-7415
Mailing address
301 NP Ave N
Fargo, ND 58102-4835
Phone (701) 239-2287
Other providers in Lamoure, ND
- Benedictine Living Communities, Inc.
- Carl Robert Black
- Community Volunteer EMS of Lamoure
- County of Lamoure Office of Auditor
- Mikayla Dye
- Katelyn Lois Greenmyer
- Independence Speech Therapy Inc
- Ashley Marie Kottsick
- Lamoure County Social Services
- Lamoure Drug Store, Inc.
All providers in Lamoure, ND · Federally Qualified Health Center (FQHC) in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.