# LBA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVENAL MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205001682
- **Authorized official:** AMY ZACHARY-PENTON FNP (ADMINISTRATOR)
- **Authorized official phone:** (805) 441-1310

## Contact information

- **Practice address:** 148 E KINGS ST, AVENAL, CA 93204-1529
- **Practice address phone:** (559) 386-9000
- **Practice address fax:** (559) 386-9090
- **Mailing address:** PO BOX 547, AVENAL, CA 93204-0547
- **Mailing address phone:** (559) 386-9000
- **Mailing address fax:** (559) 386-9090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 207RN0300X | CA | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 06/06/2014