Family Health Care Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Valley City, ND
NPI 1750876124 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1750876124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- FAMILY HEALTH CARE CENTER
- Practice address
- 415 2ND Ave NE Ste 101
Valley City, ND 58072-3060 - Phone
- (701) 271-3344
- Fax
- (701) 271-1480
- NPI assigned
- Jun 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Kristin Renz-Johnson
- Title
- Billing Manager
- Phone
- (701) 271-1494
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 5
Practitioners 9
-
Tanya Baity, APRN CNM
-
Anna Joy Miller, O.D.
-
Kelly Anne Polcher, DNP, 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 in ND
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 |
National Provider Directory
- Tax ID family
- Family Healthcare Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
415 2ND Ave NE Ste 101
Valley City, ND 58072-3060
Mailing address
301 NP Ave N
Fargo, ND 58102-4835
Phone (701) 271-3344
Other providers in Valley City, ND
- Jennifer Eberle
- Jennifer Edwards
- Encompass Family Support Services
- Theresa Enno
- Jesse Daniel Everson
- Foell Chiropractic Clinic PA
- Justin Reed Foell
- Teresa D Formo
- Tracy Lynn Friese
- Janice Kay Gabriel Johnson
All providers in Valley City, 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 Apr 3, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.