NPIMap

Organization Active NPI

Family Care Network PLLC

Doing business as Blaine Family Medicine

  • Family Medicine Physician
  • Blaine, WA
National Provider Identifier
1720014921
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
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
Jun 23, 2006
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
Family Medicine Physician 207Q00000X 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
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

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

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 5

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": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1720014921",
    "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": "2006-06-23",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "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

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.