COUNTY OF RIVERSIDE NPI 1114031051

NPI Information

  • NPI: 1114031051
  • Provider Name: COUNTY OF RIVERSIDE
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: HEMET FAMILY CARE CENTER
  • CLIA Number: 05D2263088
  • Address: 880 N STATE ST
    HEMET, CA
    ZIP 92543
  • Phone: (951) 766-2450

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NPI Details

COUNTY OF RIVERSIDE is a federally qualified health center (fqhc) clinic center in Hemet, CA. COUNTY OF RIVERSIDE NPI is 1114031051. The provider is registered as an organization entity type.
The provider Other Name Is Hemet Family Care Center.

The provider's business location address is:

880 N STATE ST
HEMET, CA
ZIP 92543-459
Phone: (951) 766-2450
Fax: (951) 766-2479

The provider's authorized official is Koen Brown .
The authorized official title is Deputy Director Ii and has the following contact phone number (951) 358-5222.

The CLIA number assigned to this NPI record is 05D2263088 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 6/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)250000551CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HAP70566FOTHERCALIFORNIAFAMILY PACT
2FHC70566FMEDICAIDCALIFORNIA
3BCP70566FOTHERCALIFORNIACANCER DETECTION PROGRAM
455-1829MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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