OrganizationFamily Healthcare NetworkClinic/CenterAmbulatory Health Care FacilitiesPractice Address1107 W Poplar Ave, Porterville, CA 93257-5839(559) 781-7242(559) 737-4700PECOS EnrollmentBased on the most recent information from CMS, provider Family Healthcare Network does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1083611156Provider TypeOrganizationFull NameFamily Healthcare NetworkSubpartNoEnumeration Date7/5/2005Last Updated4/26/2022Contact InformationPractice LocationPractice Address1107 W Poplar Ave, Porterville, CA 93257-5839Phone(559) 781-7242Fax(559) 782-8259Mailing LocationMailing Address305 E Center Ave, Visalia, CA 93291-6331Phone(559) 737-4700Fax(559) 734-1247Authorized OfficialNameHydash, Kerry (President Ceo)Phone(559) 737-4731Provider TaxonomiesCodeDescriptionLicenseCode261QF0400XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense120000590CaliforniaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDFHC03905FDescriptionMedicaidIssuerUnlistedCalifornia