FAMILY HEALTH CARE CENTER (NPI# 1033281050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033281050 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CARE CENTER |
| Practice Address |
301 Np Ave N Fargo ND 58102-4835 |
| Mailing Address |
P.o. Box 2625 Fargo ND 58102 |
| Practice Telephone | 7012713332 |
| Practice Fax Number | 7012713349 |
| Mailing Telephone | 7012713344 |
| Mailing Fax Number | 7012713343 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | MR. KATHRYN ROBLEY (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 7012392286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 148216500 | 05 | |
| ND | 1459654 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162434 | Family Health Care Center | Clinic/Center | 1104 7th Ave S # 92, Moorhead, MN 56563-0001 | 2019-03-04 |
| 1235632720 | Family Health Care Center | Respite Care | 6560 Backlick Rd Ste 210, Springfield, VA 22150-2806 | 2018-03-12 |
| 1841701877 | Family Health Care Center | Clinic/Center | 4025 9th Ave S, Fargo, ND 58103-2101 | 2017-10-17 |
| 1962863324 | Family Health Care Center | Clinic/Center | 726 13th Ave E, West Fargo, ND 58078-3304 | 2016-03-14 |
| 1366879561 | Family Health Care Center | Podiatrist | 10138 Garvey Ave Ste D, El Monte, CA 91733-5002 | 2013-10-02 |
| 1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
| 1801965967 | Family Health Care Center | Clinic/Center | 715 11th St N, Suite 106b, Moorhead, MN 56560-2083 | 2006-11-06 |
| 1043389117 | Family Health Care Center | Clinic/Center | 901 8th St. S, Concordia Health Services, Moorhead, MN 56560 | 2006-11-06 |
| 1205855988 | Family Health Care Center | Clinic/Center | 23702 Highway 80 East, Statesboro, GA 30458 | 2006-07-19 |
| 1750876124 | Family Health Care Center | Clinic/Center | 415 2nd Ave Ne Ste 101, Valley City, ND 58072-3060 | 2018-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | FAMILY HEALTH CARE CENTER OF HIGHLAND, P.C. | 3747 45th Ave, Highland, IN 46322 |
| Connecticut Business Registrations | FAMILY HEALTH CARE CENTER OF NEWTOWN, LLC | 33 Church Hill Road, Newtown, CT 06470 |
| System for Award Management (SAM) Entities | FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC. | 81 Hillcrest Drive, Punxsutawney, PA 15767-2605 |
| New York State Corporations | FAMILY HEALTH CARE CENTERS MANAGEMENT COMPANY, L.L.C. | A.m.c. Legal Dept. (a-104), New Scotland Avenue, Albany, New York 12208 |
| Street Address |
301 NP AVE N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040676 | Matthew Gilbertson | Chiropractor | 301 Np Ave N, Fargo, ND 58102-4835 | 2005-06-01 |
| 1699325191 | Whitney Renae Fear | Nurse Practitioner | 301 Np Ave N, Fargo, ND 58102-4835 | 2019-09-17 |
| 1821508193 | Erik Sven Mattson | Pharmacist | 301 Np Ave N, Fargo, ND 58102-4835 | 2017-10-02 |
| 1407365398 | Katie Banley | Nurse Practitioner | 301 Np Ave N, Fargo, ND 58102-4835 | 2017-09-24 |
| 1699296806 | Tanya Stephanie Baity | Advanced Practice Midwife | 301 Np Ave N, Fargo, ND 58102-4835 | 2017-06-28 |
| 1881148005 | Kali Luecke | Physician Assistant | 301 Np Ave N, Fargo, ND 58102-4835 | 2016-08-04 |
| 1003267394 | Kayla L. Nelson | Nurse Practitioner | 301 Np Ave N, Fargo, ND 58102 | 2016-06-28 |
| 1700252632 | Brittany Noel Michels | Physician Assistant | 301 Np Ave N, Fargo, ND 58102-4835 | 2015-08-14 |
| 1083090112 | Elizabeth Mehus-waller | Clinical Nurse Specialist | 301 Np Ave N, Fargo, ND 58102-4835 | 2015-07-30 |
| 1164804548 | Erika Guetter | Dentist | 301 Np Ave N, Fargo, ND 58102-4835 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093241846 | Serenity Valley Family Dentistry | Clinic/Center | 3633 Lincoln St S, Suite C, Fargo, ND 58104-7770 | 2017-05-11 |
| 1528455813 | Concept Dentistry, PC | Clinic/Center | 5675 26th Ave S, Suite 116, Fargo, ND 58104-8598 | 2015-04-24 |
| 1184061582 | About Smiles Dental, LLC | Clinic/Center | 4575 23rd Ave S Ste 1200, Fargo, ND 58104-8784 | 2013-05-27 |
| 1215278676 | Anderson & Breding Dental LLC | Clinic/Center | 4521 38th Ave. S., Fargo, ND 58104 | 2013-03-11 |
| 1043514367 | South University Dental Associates, PC | Clinic/Center | 3115 University Dr S, Fargo, ND 58103-6049 | 2010-12-29 |
| 1144450610 | Kangas Hardy Dental PC | Clinic/Center | 1701 38th St Sw, Fargo, ND 58103-4499 | 2009-07-19 |
| 1407030430 | Riverview Family Dental PC | Clinic/Center | 100 4th Street S #304, Fargo, ND 58103-1937 | 2007-12-27 |
| 1477047165 | Majidian Dental PC | Clinic/Center | 1231 27th St S Ste B, Fargo, ND 58103-8722 | 2018-06-18 |
| 1043712888 | Austin Vetter, Dds, LLC | Clinic/Center | 1331 32nd Ave S Ste 3, Fargo, ND 58103-5989 | 2018-03-07 |
| 1093190829 | Eaton Dental, Pllc | Clinic/Center | 1338 Gateway Dr S, Fargo, ND 58103-3512 | 2015-07-22 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.