Healthcare Provider Details

I. General information

NPI: 1154493856
Provider Name (Legal Business Name): FAMILY HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 NP AVE N
FARGO ND
58102-4835
US

IV. Provider business mailing address

301 NP AVE
FARGO ND
58102
US

V. Phone/Fax

Practice location:
  • Phone: 701-271-3344
  • Fax: 701-551-7533
Mailing address:
  • Phone: 701-271-3344
  • Fax: 701-551-7533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MARGARET ASHEIM
Title or Position: CEO
Credential:
Phone: 701-551-2442