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Organization

RIVERSIDE HEALTHCARE SYSTEM, L.P.

Active
Other names
RIVERSIDE COMMUNITY HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY TODD LACAZE (CFO)
(951) 788-3000
Entity
Organization

Contact information

Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
(909) 788-3201
Mailing address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
(909) 788-3201

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003498300
ID
01
050022
BLUE CROSS
CA
05
10025186300
NE
05
12614
TN
05
3021292
WA
05
923856
AZ
05
HSC30022G
CA
01
ZZZA3301Z
BLUE SHIELD
CA
Enumeration date
05/20/2006
Last updated
11/05/2025
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