Organization
COUNTY OF RIVERSIDE
Active
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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