Organization
COUNTY OF RIVERSIDE
Active
Other names
INDIO COMMUNITY HEALTH CENTER, INDIO FAMILY CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN CRUIKSHANK (CFO)
(951) 486-6698
Entity
Organization
Contact information
Practice address
47923 OASIS STREET, INDIO, CA 92201-6950
(760) 863-8283
(760) 863-8366
Mailing address
7888 MISSION GROVE PKWY S STE 120, RIVERSIDE, CA 92508-5064
(951) 486-6698
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
250000538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70550F
CANCER DETECTION PROGRAM
CA
05
—
FHC70550F
—
CA
01
—
HAP70550F
FAMILY PACT
CA
Enumeration date
08/18/2006
Last updated
11/21/2025
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