Healthcare Provider Details

I. General information

NPI: 1871064485
Provider Name (Legal Business Name): ARIA COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 09/02/2025
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 N CHERRY ST STE E
TULARE CA
93274-2243
US

IV. Provider business mailing address

PO BOX 580
LEMOORE CA
93245-0580
US

V. Phone/Fax

Practice location:
  • Phone: 559-686-4766
  • Fax: 559-686-2016
Mailing address:
  • Phone: 559-386-4500
  • Fax: 559-282-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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