Organization
COMMUNITY HEALTH SYSTEMS, INC.
Active
Other names
CHSI Mobile Wellness Clinic #1
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HOLEMAN (CEO)
(951) 571-2300
Entity
Organization
Contact information
Practice address
9380 MAGNOLIA AVE, RIVERSIDE, CA 92503-3749
(951) 373-5620
(951) 373-5600
Mailing address
7880 MISSION GROVE PKWY S, RIVERSIDE, CA 92508-6000
(951) 571-2300
(951) 200-3063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/18/2024
Last updated
04/17/2026
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