OrganizationFamily Healthcare NetworkClinic/CenterAmbulatory Health Care FacilitiesPractice Address1133 W Poplar Ave, Porterville, CA 93257-5839(559) 784-5465(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 yesterday at 10:14 AM.Profile DetailsProvider ID1558554519Provider TypeOrganizationFull NameFamily Healthcare NetworkSubpartNoEnumeration Date8/23/2007Last Updated10/27/2022Contact InformationPractice LocationPractice Address1133 W Poplar Ave, Porterville, CA 93257-5839Phone(559) 784-5465FaxUnlisted FaxMailing 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 FacilitiesLicense550000493CaliforniaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDFHC71182FDescriptionMedicaidIssuerUnlistedCalifornia