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County Of Riverside

Clinic/Center, Federally Qualified Health Center (FQHC) in Moreno Valley, CA. Organization (NPI-2).

NPI number1982243812
StatusActive
Last updated in NPPESNov 21, 2025

Details

NPI
1982243812
Entity type
Organization (NPI-2)
Legal business name
County Of Riverside
Organization subpart
Yes
Enumeration date
Dec 23, 2019
Certification date
Nov 21, 2025
Last updated
Nov 21, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes

Other names

  • Main Campus Community Health Center (Other Name)

Practice location

26600 Cactus Ave Ste 300
Moreno Valley, CA 92555-3901

Phone 951-988-9500

Mailing address

7888 Mission Grove Pkwy S Ste 120
Riverside, CA 92508-5064

Phone 951-358-5222

Authorized official

Jennifer Lynn Cruikshank
Ceo
9514864458

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Federally Qualified Health Center (FQHC) providers in Moreno Valley, CA

All 8 Federally Qualified Health Center (FQHC) providers in Moreno Valley · All 3,435 providers in Moreno Valley

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