Organization
COUNTY OF RIVERSIDE
Active
Other names
PERRIS COMMUNITY HEALTH CENTER, PERRIS 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
308 E. SAN JACINTO AVENUE, PERRIS, CA 92570
(951) 210-1400
(951) 940-6726
Mailing address
7888 MISSION GROVE PKWY S STE 120, RIVERSIDE, CA 92508-5064
(951) 358-5222
(951) 358-5235
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
250000541
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70549F
CANCER DETECTION PROGRAM
CA
05
—
FHC70549F
—
CA
01
—
HAP70549F
FAMILY PACT
CA
Enumeration date
08/18/2006
Last updated
11/21/2025
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