AVENAL COMMUNITY HEALTH CENTER (NPI# 1669929543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669929543 |
| Entity Type | Organization |
| Organization Name | AVENAL COMMUNITY HEALTH CENTER |
| Other Organization Name | ARIA COMMUNITY HEALTH CENTER LEMOORE 209 |
| Practice Address |
209 C St Lemoore CA 93245-2930 |
| Mailing Address |
Po Box 580 Lemoore CA 93245-0580 |
| Practice Telephone | 5599247005 |
| Practice Fax Number | 5592825080 |
| Mailing Telephone | 5593864500 |
| Mailing Fax Number | 5592825080 |
| Enumeration Date | 2016-09-08 |
| 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 Lemoore 209 | 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 |
209 C ST |
| City | LEMOORE |
| State | CA |
| Zip Code | 93245-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437437761 | Vivi Robyn Stafford | General Practice | 209 C St, Lemoore, CA 93245-2930 | 2011-08-03 |
| 1548818784 | Mandeep Kaur Sidhu | Nurse Practitioner | 209 C St, Lemoore, CA 93245-2930 | 2019-08-30 |
| 1720641814 | Avenal Community Health Center | Pharmacy | 209 C St, Lemoore, CA 93245-2930 | 2019-04-15 |
| 1841775228 | Heather Lynn Pratt | Nurse Practitioner | 209 C St, Lemoore, CA 93245-2930 | 2018-10-01 |
| 1902287089 | Daphine Kaniaru | Family Medicine | 209 C St, Lemoore, CA 93245-2930 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649794975 | Fil-am Medical Transportation Service | Home Health | 873 Sheffield Circle, Lemoore, CA 93245 | 2017-07-28 |
| 1568918290 | Samantha Crystal Avila | Student in an Organized Health Care Education/Training Program | 1114 Paradise Dr., Lemoore, CA 93245 | 2016-09-01 |
| 1306042718 | Denise M. Riemer, Dds A Professional Corporation | Dentist | 446 C St., Lemoore, CA 93245 | 2007-06-22 |
| 1295952893 | Kathy Marie Trujeque | Counselor | 122 Quandt Place # B, Lemoore, CA 93245 | 2007-04-18 |
| 1194847848 | Allen Bruce Short | Dentist | 442 C St, Lemoore, CA 93245 | 2007-04-04 |
| 1043360530 | William N Uyeyama | Dentist | 442 C Street, Lemoore, CA 93245 | 2007-01-10 |
| 1063577401 | Central Union Elementary School District | Local Education Agency (LEA) | 15783 18th Avenue, Lemoore, CA 93245 | 2006-12-26 |
| 1699782516 | Jeffrey Garcia | Optometrist | 162 W D Street, Lemoore, CA 93245 | 2006-08-02 |
| 1932143542 | Herbert Lee Starks Jr. | Physical Therapist | 899 Dogwood Ave, Apt 10c, Lemoore, CA 93245 | 2006-06-15 |
| 1760686463 | Judd Atwood Whiting | Anesthesiology | 937 Franklin Ave, Dept of Anesthesia, Lemoore, CA 93245 | 2007-06-14 |
| Find all providers in zip 93245 | ||||
| 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 |
|---|---|---|---|---|
| 1225387616 | Avenal Community Health Center | Clinic/Center | 555 E St, Lemoore, CA 93245-2617 | 2012-08-31 |
| 1821593971 | United Health Centers of The San Joaquin Valley | Clinic/Center | 250 E Hanford Armona Rd, Lemoore, CA 93245-2141 | 2018-03-29 |
| 1477979722 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1270 N Lemoore Ave, Lemoore, CA 93245-2350 | 2014-03-11 |
| 1073868527 | Avenal Community Health Center | Clinic/Center | 140 C St, Lemoore, CA 93245-2929 | 2012-07-20 |
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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.