Healthcare Provider Details
I. General information
NPI: 1932169240
Provider Name (Legal Business Name): ARIA COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2006
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
555 E ST
LEMOORE CA
93245-2617
US
IV. Provider business mailing address
PO BOX 580
LEMOORE CA
93245-0580
US
V. Phone/Fax
- Phone: 559-925-8800
- Fax: 559-282-5090
- Phone: 559-925-8800
- Fax: 559-282-5090
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251X00000X |
| Taxonomy | Supports Brokerage Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | 040000433 |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
JOHN
D.
BLAINE
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 559-925-8800