Organization · NPI-2
County Of Riverside-Community Health Agency
Family Medicine · Indio, CA
NPI number1316928492
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1316928492
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Riverside-Community Health Agency
- Organization subpart
- No
- Enumeration date
- Nov 7, 2005
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | g63339 | CA | Yes |
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 250000538 | CA |
Practice location
47923 Oasis StIndio, CA 92201-6950
Phone 760-863-8283 · Fax 760-863-8366
Mailing address
Po Box 7849Riverside, CA 92513-7849
Phone 951-358-5222 · Fax 951-358-5235
Authorized official
Michael Tweedell
Deputy Director
9513585222
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