AVENAL COMMUNITY HEALTH CENTER (NPI# 1801347885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801347885 |
| Entity Type | Organization |
| Organization Name | AVENAL COMMUNITY HEALTH CENTER |
| Other Organization Name | VIDA SANA PEDIATRICS |
| Practice Address |
781 Sequoia Ave Suite 1 Lindsay CA 93247 |
| Mailing Address |
Po Box 580 Lemoore CA 93245-0580 |
| Practice Telephone | 5595629399 |
| Practice Fax Number | 5595626129 |
| Enumeration Date | 2016-10-14 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE OSCAR CERTIFICATION | 751940 | 01 |
| Other Name | Type Code |
|---|---|
| Vida Sana Pediatrics | 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 |
781 SEQUOIA AVE SUITE 1 |
| City | LINDSAY |
| State | CA |
| Zip Code | 93247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225047764 | Guadalupe Quezada | Dentist | 781 Sequoia Ave, Suite 4, Lindsay, CA 93247-1447 | 2006-08-05 |
| 1174847768 | Lindsay Medical Supplies and Equipment | Durable Medical Equipment & Medical Supplies | 781 Sequoia Ave, Lindsay, CA 93247-1447 | 2010-03-25 |
| 1659532026 | Portable Quality Ultrasound | Clinic/Center | 781 Sequoia Ave, Lindsay, CA 93247-1447 | 2008-06-19 |
| 1306985635 | Sweets Drug Store | Pharmacy | 781 Sequoia Ave, Suite 5, Lindsay, CA 93247-1447 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539562 | Caring Hands Inc Dba Visiting Angels | Home Health | 1430 S. Mirage, Lindsay, CA 93247 | 2018-02-22 |
| 1700391943 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 3, Lindsay, CA 93247 | 2017-12-11 |
| 1811331986 | Mohamed Walid Soliman Dds, Inc. | Preferred Provider Organization | 755 North Sequoia Ave., Suite A, Lindsay, CA 93247 | 2013-04-19 |
| 1730467770 | Turning Point Youth Services | Community/Behavioral Health | 460 W Hickory, Lindsay, CA 93247 | 2011-07-25 |
| 1720387582 | Revelyn Eusebio Odra | Pharmacist | 261 N Highway 65, Lindsay, CA 93247 | 2011-03-19 |
| 1053526632 | Richard Leslie Norman | Obstetrics & Gynecology | 21796 Road 232, Lindsay, CA 93247 | 2007-05-14 |
| 1114039781 | Mohamed Walid Soliman Dds Inc | Dentist | 755 N Sequoia Ave, Lindsay, CA 93247 | 2006-08-31 |
| 1447367099 | Michael E Loeffler | Dentist | 231 South Mirage Ave, Lindsay, CA 93247 | 2006-08-23 |
| 1164431797 | Frank E Baughman | Dentist | 233 South Mirage, Lindsay, CA 93247 | 2006-08-05 |
| 1255360152 | Vida Sana Medical Group, Inc. | Family Medicine | 755 N. Sequoia Ave., Suite B, Lindsay, CA 93247 | 2006-07-02 |
| Find all providers in zip 93247 | ||||
| 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 |
|---|---|---|---|---|
| 1700391943 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 3, Lindsay, CA 93247 | 2017-12-11 |
| 1669400164 | County of Tulare | Clinic/Center | 845 Sequoia Ave, Lindsay, CA 93247-1424 | 2006-06-30 |
| 1760013650 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 4, Lindsay, CA 93247-1448 | 2020-01-29 |
| 1750898805 | Avenal Community Health Center | Clinic/Center | 973 Sequoia Ave, Lindsay, CA 93247-1426 | 2018-01-10 |
| 1437607728 | Avenal Community Health Center | Clinic/Center | 755 Sequoia Ave, Suite B, Lindsay, CA 93247 | 2016-09-14 |
| 1427506716 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 2, Lindsay, CA 93247 | 2016-09-14 |
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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.