Organization
COUNTY OF RIVERSIDE
Active
Parent organization
COUNTY OF RIVERSIDE
Other names
Centennial Community Health Center, Corona-Magnolia Ave. CHC, Corona-Magnolia Ave. Community Health Center, Centennial CHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF RIVERSIDE
Authorized official
JENNIFER LYNN CRUIKSHANK (CEO)
(951) 486-4458
Entity
Organization
Contact information
Practice address
1820 FULLERTON AVE STE 300, CORONA, CA 92881-3106
(951) 358-5222
Mailing address
7888 MISSION GROVE PKWY S STE 120, RIVERSIDE, CA 92508-5064
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
03/25/2026
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