=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235562224
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARIA COMMUNITY HEALTH CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2013
-----------------------------------------------------
Last Update Date | 06/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20326 MAIN ST.
-----------------------------------------------------
City | STRATFORD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-386-4500
-----------------------------------------------------
Fax | 559-386-0999
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 580 MOBILE 2
-----------------------------------------------------
City | LEMOORE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93245-0580
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-386-4500
-----------------------------------------------------
Fax | 559-282-5080
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/ADMINISTRATOR
-----------------------------------------------------
Name | MR. JOHN D BLAINE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 559-386-4500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------