| Family Health Care Center | |
|
301 Np Ave N Fargo ND 58102-4835 | |
| (701) 271-3344 | |
| (701) 271-3343 |
| Full Name | Family Health Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Np Ave N, Fargo, North Dakota |
| Authorized Official Name and Position | Kristin Renz-johnson (MANAGER, REVENUE CYCLE) |
| Authorized Official Contact | 7012711494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Center 301 Np Ave N Fargo ND 58102-4835 Ph: (701) 239-2287 | Family Health Care Center 301 Np Ave N Fargo ND 58102-4835 Ph: (701) 271-3344 |
| NPI Number | 1710066352 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 04/03/2024 |
| Medicare PECOS PAC ID | 1658283650 |
|---|---|
| Medicare Enrollment ID | O20031217000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710066352 | NPI | - | NPPES |
| 1459654 | Medicaid | ND | |
| 148216500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Denise M Schumacher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124049341 PECOS PAC ID: 5496777898 Enrollment ID: I20051229000167 |
| Provider Name | David Javier Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275629719 PECOS PAC ID: 0648241232 Enrollment ID: I20071009000104 |
| Provider Name | Timothy J Mahoney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689608192 PECOS PAC ID: 0840195822 Enrollment ID: I20071205000061 |
| Provider Name | Mary L Sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366650277 PECOS PAC ID: 3072673516 Enrollment ID: I20081113000679 |
| Provider Name | Daniel J Levin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053404806 PECOS PAC ID: 9436294535 Enrollment ID: I20100301000349 |
| Provider Name | Richard D Lenzmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225056898 PECOS PAC ID: 8022202159 Enrollment ID: I20101102000833 |
| Provider Name | Napoleon R Espejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972682532 PECOS PAC ID: 2264346436 Enrollment ID: I20110527000417 |
| Provider Name | Kelly A Polcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104195031 PECOS PAC ID: 9335306810 Enrollment ID: I20120210000808 |
| Provider Name | Sreejith Gopi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275762924 PECOS PAC ID: 7012164312 Enrollment ID: I20120821000838 |
| Provider Name | Pamela Leino-mills |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285987495 PECOS PAC ID: 5496907800 Enrollment ID: I20121211000531 |
| Provider Name | Meghan A Dockter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972842698 PECOS PAC ID: 0941446959 Enrollment ID: I20130417000718 |
| Provider Name | Arden M Beachy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164412151 PECOS PAC ID: 5698671220 Enrollment ID: I20130619000396 |
| Provider Name | James G Kappenman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235369604 PECOS PAC ID: 2769626670 Enrollment ID: I20130916000342 |
| Provider Name | Anna Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306288147 PECOS PAC ID: 2466696885 Enrollment ID: I20130924000867 |
| Provider Name | Eric Ross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881033751 PECOS PAC ID: 9133355696 Enrollment ID: I20131112000788 |
| Provider Name | Elizabeth Mehus-waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090112 PECOS PAC ID: 9739472226 Enrollment ID: I20160720002671 |
| Provider Name | Kara Kniert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871013342 PECOS PAC ID: 7618248741 Enrollment ID: I20170807003361 |
| Provider Name | Nicole L Mullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295257400 PECOS PAC ID: 8527331230 Enrollment ID: I20170831001128 |
| Provider Name | Susan K Korman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831224047 PECOS PAC ID: 9537204474 Enrollment ID: I20180731001167 |
| Provider Name | Kelsey L O'harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346725900 PECOS PAC ID: 3577809573 Enrollment ID: I20190111002474 |
| Provider Name | Alexa Marie Derosier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629533724 PECOS PAC ID: 5395088595 Enrollment ID: I20190509001793 |
| Provider Name | Whitney Renae Fear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699325191 PECOS PAC ID: 6901239359 Enrollment ID: I20191126000753 |
| Provider Name | Sarah E Frauenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750943783 PECOS PAC ID: 2062845712 Enrollment ID: I20191210003020 |
| Provider Name | Kayli Irvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124636717 PECOS PAC ID: 4385062371 Enrollment ID: I20200908001239 |
| Provider Name | Katie Banley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407365398 PECOS PAC ID: 8628488087 Enrollment ID: I20201113001749 |
| Provider Name | Tanya Baity |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699296806 PECOS PAC ID: 8224308341 Enrollment ID: I20210301002496 |
| Provider Name | Rachel Ostlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265004220 PECOS PAC ID: 5092111849 Enrollment ID: I20210902002637 |
| Provider Name | Chad Leonard Schiltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053017780 PECOS PAC ID: 3870966401 Enrollment ID: I20230302000671 |
| Provider Name | Jeen Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558973982 PECOS PAC ID: 4082033204 Enrollment ID: I20230428001386 |
| Provider Name | Josie Anne Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508550435 PECOS PAC ID: 6103287388 Enrollment ID: I20230803003728 |
| Provider Name | Amy Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952173668 PECOS PAC ID: 2961855416 Enrollment ID: I20240131002920 |
Sanford Children's Southwest Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3600 Fax: 701-234-3528 | |
Forde Counseling Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 24th Ave S, Ste 102, Fargo, ND 58104 Phone: 701-941-0175 Fax: 701-941-3001 | |
Rvision Health Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 38th St Nw Ste A, Fargo, ND 58102 Phone: 877-893-4792 | |
Plains Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3290 20th St S, Fargo, ND 58104 Phone: 701-499-4800 Fax: 701-451-9452 | |
Heartsprings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Elm St N, Fargo, ND 58102 Phone: 701-261-3142 | |
Pediatric Arts Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3290 20th St S Ste A, Fargo, ND 58104 Phone: 701-478-4722 Fax: 701-893-9057 | |
Elephant In The Room Counseling Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1351 Page Dr S Ste 301, Fargo, ND 58103 Phone: 701-707-3576 Fax: 701-707-3577 |