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County Of Riverside
Federally Qualified Health Center (FQHC) in Corona, California
NPI 1205940145

County Of Riverside is a Federally Qualified Health Center (FQHC) based in Riverside, CA and is specialized in Federally Qualified Health Center (FQHC). County Of Riverside practices in Corona, CA. The NPI Number for County Of Riverside is 1205940145 and holds a License No. (California).

The current practice location address for County Of Riverside is 2813 S Main St, Corona, CA and can be reached out via phone at 951-272-5445 and via fax at 951-272-5489.

Location: 2813 S Main St, Corona, CA, 92513-7849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205940145
Provider Name
County Of Riverside
Credential
Provider Entity Type
Organization
Address
2813 S Main St, Corona, CA, 92513-7849
Phone Number
951-272-5445
Fax Number
951-272-5489
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCP70548F 01 CA CANCER DETECTION PROGRAM
HAP70548F 01 CA FAMILY PACT
institution
Provider Business Practice Location Address Details
Address
2813 S Main St
City
Corona
State
California
Zip
92882
Phone Number
951-272-5445
Fax Number
951-272-5489
person
Provider Business Mailing Address Details
Address
2813 S Main St
City
Corona
State
California
Zip
92882
Phone Number
951-272-5445
Fax Number
951-272-5489
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
250000536 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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