AVENAL COMMUNITY HEALTH CENTER (NPI# 1174142798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174142798 |
| Entity Type | Organization |
| Organization Name | AVENAL COMMUNITY HEALTH CENTER |
| Practice Address |
1000 Skyline Blvd Ste C Avenal CA 93204-1850 |
| Mailing Address |
Po Box 580 Lemoore CA 93245-0580 |
| Practice Telephone | 5593864500 |
| Practice Fax Number | 5593860550 |
| Mailing Telephone | 5593864500 |
| Mailing Fax Number | 5592825080 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | HEMANTA MUNGUR (CFO) |
| Authorized Official Telephone | 5593864500 |
| Is Organization Subpart | N |
| 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 |
| 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 |
| 1699294108 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 109, 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 |
1000 SKYLINE BLVD STE C |
| City | AVENAL |
| State | CA |
| Zip Code | 93204-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851658595 | Dallin Andersen | Physician Assistant | 216 East Fresno Street, Avenal, CA 93204 | 2012-04-19 |
| 1679804199 | Bert Kirby Simpson | Psychologist | 5357 Yankee Canyon Dr, Lake Isabella, CA 93204 | 2010-01-22 |
| 1710161898 | William Burns | Dentist | Avenal State Prison, #1 Kings Way, Avenal, CA 93204 | 2007-12-24 |
| 1760695217 | Ziad M Dagher | Dentist | 310 W Shaw College, Fresno, CA 93204 | 2007-05-08 |
| 1588786834 | Dean Robinson | Dentist | 1 Kings Wy, Avenal State Prison, Dental Dept, Avenal, CA 93204 | 2007-04-06 |
| 1326132697 | Don Glen Lindquist | Dentist | #1 Kings Way, Avenal State Prison, Avenal, CA 93204 | 2006-10-03 |
| 1376178103 | Corrections and Rehabilitation | Pharmacy | 1 Kings Way, Avenal, CA 93204 | 2020-03-12 |
| 1457688111 | Ruth Ellen De Larios | Counselor | 1 Kings Way, Avenal, CA 93204 | 2009-11-17 |
| 1932435419 | Melissa Sue Alvarez | Counselor | #1 Kings Way, Avenal, CA 93204 | 2009-10-19 |
| 1548490147 | Elaine Greeley Force | Psychologist | 1 Kings Way, Avenal, CA 93204 | 2009-07-17 |
| Find all providers in zip 93204 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1932169240 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2006-03-23 |
| 1912312273 | Avenal Community Health Center | Clinic/Center | 148 E Kings St, Avenal, CA 93204-1529 | 2014-06-25 |
| 1235562224 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2013-08-14 |
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| Find all providers with the same taxonomy | ||||
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| 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.