Organization
RIVERSIDE, COUNTY OF
Active
Organization
RIVERSIDE, COUNTY OF
Active
Other names
Mead Valley CHC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN CRUIKSHANK (CEO)
(951) 486-4450
Entity
Organization
Contact information
Practice address
20545 HARVILL AVENUE, PERRIS, CA 92570
(951) 358-5222
Mailing address
7888 MISSION GROVE PKWY S STE 120, RIVERSIDE, CA 92508-5064
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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