Provider Demographics
NPI:1003852500
Name:FAMILY CARE NETWORK PLLC
Entity Type:Organization
Organization Name:FAMILY CARE NETWORK PLLC
Other - Org Name:FAMILY CARE NETWORK MEDICAL TESTING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY CARE NETWORK PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:G
Authorized Official - Last Name:HIPSKIND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-318-8800
Mailing Address - Street 1:709 W ORCHARD DRIVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-0066
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:3130 SQUALICUM PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1940
Practice Address - Country:US
Practice Address - Phone:360-756-0382
Practice Address - Fax:360-756-5184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY CARE NETWORK PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA192942513OtherUS DEPT OF LABOR CLINIC NUMBER
WA192942513OtherUS DEPT OF LABOR CLINIC NUMBER