Organization
AVENAL COMMUNITY HEALTH CENTER
Active
Parent organization
AVENAL COMMUNITY HEALTH CENTER
Other names
Aria Community Health Center, Aria Community Health Center Mobile 1
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVENAL COMMUNITY HEALTH CENTER
Authorized official
MR. JOHN D BLAINE (CEO/ADMINISTRATOR)
(559) 386-4500
Entity
Organization
Contact information
Practice address
555 E ST, LEMOORE, CA 93245-2617
(559) 386-4500
(559) 386-0999
Mailing address
PO BOX 580, LEMOORE, CA 93245-0580
(559) 386-4500
(559) 282-5080
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550002057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751139
MEDICARE OSCAR CERTIFICATION
CA
Enumeration date
08/31/2012
Last updated
12/29/2022
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