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COUNTY OF RIVERSIDE NPI 1386758225


NPI Information

NPI: 1386758225
Provider Name: COUNTY OF RIVERSIDE

Other Name: PALM SPRINGS FAMILY CARE CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1515 NORTH SUNRISE WAY
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 778-2210
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COUNTY OF RIVERSIDE is a federally qualified health center (fqhc) clinic center in Palm Springs, CA. COUNTY OF RIVERSIDE NPI is 1386758225. The provider is registered as an organization entity type.
The provider Other Name Is Palm Springs Family Care Center.

The provider's business location address is:

1515 NORTH SUNRISE WAY
PALM SPRINGS, CA
ZIP 92262-309
Phone: (760) 778-2210
Fax: (760) 778-2214

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 enumeration date for this NPI number is 8/18/2006 and was last updated on 6/11/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)250000544CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BCP70552FOTHERCALIFORNIACANCER DETECTION PROGRAM
255-1828MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PART A- UGS
3HAP70552FOTHERCALIFORNIAFAMILY PACT
4FHC70552FMEDICAIDCALIFORNIA

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: 11/14/2023

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