OrganizationAvenal Community Health Center(Aria Community Health Center)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address575 W Putnam Ave, Porterville, CA 93257-3270(559) 784-6878(559) 386-4500PECOS EnrollmentBased on the most recent information from CMS, provider Avenal Community Health Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700393956Provider TypeOrganizationFull NameAvenal Community Health CenterOther NameAria Community Health CenterSubpartNoEnumeration Date1/9/2018Last Updated7/28/2023Contact InformationPractice LocationPractice Address575 W Putnam Ave, Porterville, CA 93257-3270Phone(559) 784-6878Fax(559) 784-1592Mailing LocationMailing AddressPO Box 580, Lemoore, CA 93245-0580Phone(559) 386-4500FaxUnlisted FaxAuthorized OfficialNameBlaine, John (Ceo)Phone(559) 925-8800Provider TaxonomiesCodeDescriptionLicenseCode261QF0400XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode251X00000XDescriptionSupports BrokerageAgenciesLicenseUnlisted Issuer