Healthcare Provider Details

I. General information

NPI: 1740492479
Provider Name (Legal Business Name): FAMILY CARE NETWORK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 GROVER ST SUITE D1
LYNDEN WA
98264-1539
US

IV. Provider business mailing address

709 W ORCHARD DRIVE SUITE 4
BELLINGHAM WA
98225-0066
US

V. Phone/Fax

Practice location:
  • Phone: 360-354-1333
  • Fax: 360-354-5399
Mailing address:
  • Phone: 360-318-9705
  • Fax: 360-318-1085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: RODNEY ANDERSON
Title or Position: CEO
Credential: MD
Phone: 360-318-8800