Organization
COUNTY OF RIVERSIDE
Active
Other names
Hemet COMMUNITY HEALTH CENTER, HEMET 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
880 N STATE ST, HEMET, CA 92543-1459
(951) 766-2450
(951) 766-2479
Mailing address
PO BOX 7849, RIVERSIDE, CA 92513-7849
(951) 358-5222
(951) 358-5235
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
250000551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70566F
CANCER DETECTION PROGRAM
CA
05
—
FHC70566F
—
CA
01
—
HAP70566F
FAMILY PACT
CA
Enumeration date
08/18/2006
Last updated
11/21/2025
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