AVENAL COMMUNITY HEALTH CENTER (NPI# 1053942250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053942250 |
| Entity Type | Organization |
| Organization Name | AVENAL COMMUNITY HEALTH CENTER |
| Practice Address |
569 W Putnam Ave Porterville CA 93257-3260 |
| Mailing Address |
Po Box 580 Lemoore CA 93245-0580 |
| Practice Telephone | 5597819301 |
| Practice Fax Number | 5597827639 |
| Mailing Telephone | 5593864500 |
| Mailing Fax Number | 5595825090 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | HEMANTA MUNGUR (CFO) |
| Authorized Official Telephone | 5593864500 |
| Is Organization Subpart | Y |
| Parent Organization Name | AVENAL COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aria Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811516438 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste A, Avenal, CA 93204-1850 | 2020-04-14 |
| 1265051882 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste B, Avenal, CA 93204-1850 | 2020-04-14 |
| 1174142798 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste C, Avenal, CA 93204-1850 | 2020-04-14 |
| 1669019139 | Avenal Community Health Center | Clinic/Center | 191 E Polk St., Coalinga, CA 93210 | 2019-12-04 |
| 1700448636 | Avenal Community Health Center | Clinic/Center | 858 N Cherry St Ste F, Tulare, CA 93274-2243 | 2019-07-01 |
| 1871064485 | Avenal Community Health Center | Clinic/Center | 858 N Cherry St Ste E, Tulare, CA 93274-2243 | 2018-12-07 |
| 1306349501 | Avenal Community Health Center | Clinic/Center | 271 N L St, Dinuba, CA 93618-2107 | 2018-03-14 |
| 1700391943 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 3, Lindsay, CA 93247 | 2017-12-11 |
| 1225557739 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 103, Hanford, CA 93230-4533 | 2017-09-15 |
| 1467971960 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 107, Hanford, CA 93230-4533 | 2017-09-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AVENAL COMMUNITY HEALTH CENTER | 555 E St, Lemoore, CA 93245-2617 |
| Street Address |
569 W PUTNAM AVE |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811066210 | Ramon Resa | Pediatrics | 569 W Putnam Ave, Porterville, CA 93257-3260 | 2006-11-07 |
| 1669778528 | Ethyln Joyce Wheeler | Pediatrics | 569 W Putnam Ave, Porterville, CA 93257-3260 | 2011-02-09 |
| 1376663955 | Ramon Resa | Pediatrics | 569 W Putnam Ave, Porterville, CA 93257-3260 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1558554519 | Family Healthcare Network | Clinic/Center | 1133 W Poplar Ave, Porterville, CA 93257-5839 | 2007-08-23 |
| 1053356634 | County of Tulare | Clinic/Center | 303 E Olive Ave, Porterville, CA 93257-4871 | 2006-06-18 |
| 1083611156 | Family Healthcare Network | Clinic/Center | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2005-07-05 |
| 1083274609 | Avenal Community Health Center | Clinic/Center | 591 W Putnam Ave, Porterville, CA 93257-3260 | 2019-06-17 |
| 1841856556 | Avenal Community Health Center | Clinic/Center | 581 W Putnam Ave, Porterville, CA 93257-3260 | 2019-05-17 |
| 1659866879 | Avenal Community Health Center | Clinic/Center | 229 W Cherry Ave, Porterville, CA 93257-3401 | 2018-06-29 |
| 1700393956 | Avenal Community Health Center | Clinic/Center | 575 W Putnam Ave, Porterville, CA 93257-3270 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
Please comment or provide details below to improve the information on AVENAL COMMUNITY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.