# COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952329708
- **Authorized official:** MR. MICHAEL TWEEDELL M.P.H. (DEPUTY DIRECTOR)
- **Authorized official phone:** (951) 358-5222

## Contact information

- **Practice address:** 880 N STATE ST, HEMET, CA 92543-1459
- **Practice address phone:** (951) 766-2450
- **Practice address fax:** (951) 766-2479
- **Mailing address:** PO BOX 7849, RIVERSIDE, CA 92513-7849
- **Mailing address phone:** (951) 358-5222
- **Mailing address fax:** (951) 358-5235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | CA | — |
| 363A00000X | Physician Assistant | PA14836 | CA | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 09/11/2025