EMINENCE HEALTHCARE SERVICES, LLC (NPI# 1821212929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821212929 |
| Entity Type | Organization |
| Organization Name | EMINENCE HEALTHCARE SERVICES, LLC |
| Practice Address |
16875 4th Street Room 120 Huron CA 93234-1000 |
| Mailing Address |
Po Box 27707 Fresno CA 93729-7707 |
| Practice Telephone | 5592218100 |
| Practice Fax Number | 5592218101 |
| Mailing Telephone | 5592218100 |
| Mailing Fax Number | 5592218101 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | MR. JUAN GARZA II (CEO/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5592218100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
CA | Ambulatory Health Care Facilities | |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 101076 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528599792 | Eminence Healthcare Services, LLC | Clinic/Center | 4250 E Tulare St, Fresno, CA 93702-3037 | 2017-03-21 |
| 1629519871 | Eminence Healthcare Services, LLC | Clinic/Center | 4330 E Garland Ave, Fresno, CA 93726-6102 | 2017-03-20 |
| 1750752879 | Eminence Healthcare Services, LLC | Clinic/Center | 16673 Palmer Ave, Rooms 1, 2, 3, 4, 5, Huron, CA 93234-1090 | 2015-10-15 |
| 1922478734 | Eminence Healthcare Services, LLC | Clinic/Center | 13883 S Lassen Ave, Rooms 1 & 2, Helm, CA 93627-9900 | 2015-10-06 |
| 1568844041 | Eminence Healthcare Services, LLC | Clinic/Center | 707 Letts Ave, Rooms B1, B3 1/2, Corcoran, CA 93212-1753 | 2015-06-22 |
| 1538540521 | Eminence Healthcare Services, LLC | Clinic/Center | 1100 Letts Ave, Rooms 4, 7, Sc4, Corcoran, CA 93212-2520 | 2015-06-15 |
| 1306227954 | Eminence Healthcare Services, LLC | Clinic/Center | 701 General Petroleum Avenue, Rooms 13, 17, 18, Kettleman City, CA 93239-0599 | 2015-06-09 |
| 1205224110 | Eminence Healthcare Services, LLC | Clinic/Center | 205 S 1st St, Kerman, CA 93630-1001 | 2014-12-30 |
| 1154729382 | Eminence Healthcare Services, LLC | Clinic/Center | 877 E North Ave, Room 2, Reedley, CA 93654-2566 | 2014-12-22 |
| 1821224650 | Eminence Healthcare Services, LLC | Clinic/Center | 608 N 1st Ave, Room 21, Avenal, CA 93204-1071 | 2009-06-08 |
| Street Address |
16875 4TH STREET ROOM 120 |
| City | HURON |
| State | CA |
| Zip Code | 93234-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407552 | The Latino Equity Advocacy and Policy Institute | Non-emergency Medical Transport (VAN) | 17010 Apple Avenue, Huron, CA 93234 | 2019-10-01 |
| 1730653221 | Turning Point of Central California, Inc. | Community/Behavioral Health | 36618 Lassen Avenue Suite A, Huron, CA 93234 | 2019-01-17 |
| 1205202975 | Kayle Ortega | Counselor | 16734 13th St, Huron, CA 93234 | 2015-08-18 |
| 1629100938 | Rosemary Caragol Maestas | Counselor | 36131 N St., Huron, CA 93234 | 2007-03-12 |
| 1912940115 | Chi H Yang | Preventive Medicine | 36618 South Lassen, Huron, CA 93234 | 2006-06-14 |
| 1902851066 | Pierce & Rios Medical Corporation | Clinic/Center | 36618 South Lassen Pob 1269, Huron, CA 93234 | 2006-05-24 |
| 1437128824 | Asbel Obed Bolado | Physician Assistant | 16928 11th Street, Huron, CA 93234 | 2006-03-16 |
| 1134101686 | United Health Centers of The San Joaquin Valley | Clinic/Center | 16928 11th St, Huron, CA 93234 | 2005-11-18 |
| 1679738827 | Olawunmi M Abass | Dentist | 16928 11th Street, Huron, CA 93234 | 2008-07-26 |
| 1164633277 | United Health Centers of The San Joaquin Valley | Clinic/Center | 16928 11th Street, Huron, CA 93234 | 2007-05-24 |
| Find all providers in zip 93234 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750752879 | Eminence Healthcare Services, LLC | Clinic/Center | 16673 Palmer Ave, Rooms 1, 2, 3, 4, 5, Huron, CA 93234-1090 | 2015-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.