EMINENCE HEALTHCARE SERVICES, LLC (NPI# 1639568587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639568587 |
| Entity Type | Organization |
| Organization Name | EMINENCE HEALTHCARE SERVICES, LLC |
| Practice Address |
209 N Park Ave Avenal CA 93204-1425 |
| Mailing Address |
Po Box 27707 Fresno CA 93729-7707 |
| Practice Telephone | 5593860460 |
| Mailing Telephone | 5592218100 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | JUAN GARZA II (CEO/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5592218100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528599792 | Eminence Healthcare Services, LLC | Clinic/Center | 4250 E Tulare St, Fresno, CA 93702-3037 | 2017-03-21 |
| 1629519871 | Eminence Healthcare Services, LLC | Clinic/Center | 4330 E Garland Ave, Fresno, CA 93726-6102 | 2017-03-20 |
| 1750752879 | Eminence Healthcare Services, LLC | Clinic/Center | 16673 Palmer Ave, Rooms 1, 2, 3, 4, 5, Huron, CA 93234-1090 | 2015-10-15 |
| 1922478734 | Eminence Healthcare Services, LLC | Clinic/Center | 13883 S Lassen Ave, Rooms 1 & 2, Helm, CA 93627-9900 | 2015-10-06 |
| 1568844041 | Eminence Healthcare Services, LLC | Clinic/Center | 707 Letts Ave, Rooms B1, B3 1/2, Corcoran, CA 93212-1753 | 2015-06-22 |
| 1538540521 | Eminence Healthcare Services, LLC | Clinic/Center | 1100 Letts Ave, Rooms 4, 7, Sc4, Corcoran, CA 93212-2520 | 2015-06-15 |
| 1306227954 | Eminence Healthcare Services, LLC | Clinic/Center | 701 General Petroleum Avenue, Rooms 13, 17, 18, Kettleman City, CA 93239-0599 | 2015-06-09 |
| 1205224110 | Eminence Healthcare Services, LLC | Clinic/Center | 205 S 1st St, Kerman, CA 93630-1001 | 2014-12-30 |
| 1154729382 | Eminence Healthcare Services, LLC | Clinic/Center | 877 E North Ave, Room 2, Reedley, CA 93654-2566 | 2014-12-22 |
| 1821224650 | Eminence Healthcare Services, LLC | Clinic/Center | 608 N 1st Ave, Room 21, Avenal, CA 93204-1071 | 2009-06-08 |
| Street Address |
209 N PARK AVE |
| City | AVENAL |
| State | CA |
| Zip Code | 93204-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306082797 | Westcare California, Inc. | Clinic/Center | 209 N Park Ave, Avenal, CA 93204-1425 | 2009-01-06 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821224650 | Eminence Healthcare Services, LLC | Clinic/Center | 608 N 1st Ave, Room 21, Avenal, CA 93204-1071 | 2009-06-08 |
| 1538395504 | Eminence Healthcare Services, LLC | Clinic/Center | 601 E Mariposa St, Room 12, Avenal, CA 93204-1413 | 2009-06-04 |
| 1306082797 | Westcare California, Inc. | Clinic/Center | 209 N Park Ave, Avenal, CA 93204-1425 | 2009-01-06 |
| 1205225596 | Eminence Healthcare King, Inc. | Clinic/Center | 608 N 1st Ave, Avenal, CA 93204-1071 | 2015-01-09 |
| 1154710424 | Eminence Healthcare Kings, Inc. | Clinic/Center | 601 E Mariposa St, Avenal, CA 93204-1413 | 2015-01-09 |
| 1194951012 | Eminence Healthcare Services, LLC | Clinic/Center | 205 N Park Ave, District Office Testing Center, Avenal, CA 93204-1425 | 2009-06-05 |
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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.