AVENAL COMMUNITY HEALTH CENTER (NPI# 1467971960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467971960 |
Entity Type | Organization |
Organization Name | AVENAL COMMUNITY HEALTH CENTER |
Other Organization Name | ARIA COMMUNITY HEALTH CENTER HANFORD 107 |
Practice Address |
329 W 8th St Ste 107 Hanford CA 93230-4533 |
Mailing Address |
Po Box 580 Lemoore CA 93245-0580 |
Practice Telephone | 5595872505 |
Practice Fax Number | 5595872510 |
Mailing Telephone | 5593864500 |
Enumeration Date | 2017-09-15 |
Last Update Date | 2019-12-11 |
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 Hanford 107 | 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 |
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 |
329 W 8TH ST STE 107 |
City | HANFORD |
State | CA |
Zip Code | 93230-4533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
Find all providers in zip 93230 |
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 |
---|---|---|---|---|
1225557739 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 103, 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 |
1356860852 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 111, Hanford, CA 93230-4533 | 2017-09-15 |
1467504530 | Family Healthcare Network | Clinic/Center | 250 W 5th St, Hanford, CA 93230 | 2007-01-17 |
1871045054 | Avenal Community Health Center | Clinic/Center | 1320 Bailey Drive, Suite 102, Hanford, CA 93230-4377 | 2016-11-03 |
1710168422 | Kings County Health Department | Clinic/Center | 330 Campus Dr, Hanford, CA 93230-4375 | 2007-11-21 |
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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.