Avante Behavioral Health in Fresno - Exclusive Provider Organization
Avante Behavioral Health - NPI 1669596045
Avante Behavioral Health is a Exclusive Provider Organization in Fresno, California. Avante Behavioral Health practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Avante Behavioral Health is 1669596045. The last update date is 2014-04-15.
Avante Behavioral Health's current location address is 1111 E Herndon Ave, Fresno, California. You can contact this provider via phone number 5592619060 and fax number 5592619073. The mailing address for Avante Behavioral Health is 1111 E Herndon Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avante Behavioral Health |
|---|---|
| Address | 1111 E Herndon Ave, Fresno, California |
| Phone Number | 5592619060 |
| Fax Number | 5592619073 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bourdo S. Dennis |
| Telephone Number | 5592619060 |
NPI Number Detail
| NPI Number | 1669596045 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2014-04-15 |
Provider Mailing Address Detail
| Address | 1111 E Herndon Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 93720 |
| Phone Number | 5592619060 |
| Fax Number | 5592619073 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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What is the unique 10-digit identifier code issued to Avante Behavioral Health by the Centers for Medicare & Medicaid Services?
The Avante Behavioral Health has been assigned the NPI (National Provider Identifier) 1669596045 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Avante Behavioral Health is geographically located?
The Avante Behavioral Health is physically situated at the following location: 1111 E Herndon Ave, Fresno, CA, 93720.
What is the area of specialization for Avante Behavioral Health, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Avante Behavioral Health is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of expertise is 302F00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669596045 to Avante Behavioral Health?
The Centers for Medicare & Medicaid Services originally issued the 1669596045 to Avante Behavioral Health on 2007-03-19.
When was the information pertaining to Avante Behavioral Health most recently updated or revised?
The details related to Avante Behavioral Health, including its address, specialty, and other relevant information, were last updated or revised on 2014-04-15.
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