Basic Information
| Provider Information | |||||||||
| NPI: | 1255651907 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FAMILY CARE NETWORK PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 709 W ORCHARD DR STE 4 | ||||||||
| Address2: | |||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982251766 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603188800 | ||||||||
| FaxNumber: | 3603181085 | ||||||||
| Practice Location | |||||||||
| Address1: | 2511 M AVE STE A | ||||||||
| Address2: | |||||||||
| City: | ANACORTES | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982213897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3602939813 | ||||||||
| FaxNumber: | 3602998605 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2010 | ||||||||
| LastUpdateDate: | 03/12/2015 | ||||||||
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| AuthorizedOfficialLastName: | HIPSKIND | ||||||||
| AuthorizedOfficialFirstName: | MARCY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3603188800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | WA | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.