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Organization

COUNTY OF RIVERSIDE

Active
Other names
Main Campus First Floor Community Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LYNN CRUIKSHANK (CFO)
(951) 486-4135
Entity
Organization

Contact information

Practice address
26600 CACTUS AVE STE 100, MORENO VALLEY, CA 92555-3901
(951) 358-5222
Mailing address
7888 MISSION GROVE PKWY S STE 120, RIVERSIDE, CA 92508-5064
(951) 358-6278

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
05/24/2021
Last updated
11/21/2025
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