Healthcare Provider Details

I. General information

NPI: 1912312273
Provider Name (Legal Business Name): ARIA COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2014
Last Update Date: 09/02/2025
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 E KINGS ST
AVENAL CA
93204-1529
US

IV. Provider business mailing address

PO BOX 580
LEMOORE CA
93245-0580
US

V. Phone/Fax

Practice location:
  • Phone: 559-386-9000
  • Fax:
Mailing address:
  • Phone: 559-386-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JOHN BLAINE
Title or Position: CEO
Credential:
Phone: 559-925-8800