| Main Campus Community Health Center | |
|
26600 Cactus Ave Ste 300 Moreno Valley CA 92555-3901 | |
| (951) 988-9500 | |
| Not Available |
| Full Name | Main Campus Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 26600 Cactus Ave Ste 300, Moreno Valley, California |
| Authorized Official Name and Position | Jennifer Lynn Cruikshank (CEO) |
| Authorized Official Contact | 9514864458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Campus Community Health Center 7888 Mission Grove Pkwy S Ste 120 Riverside CA 92508-5064 Ph: (951) 358-5222 | Main Campus Community Health Center 26600 Cactus Ave Ste 300 Moreno Valley CA 92555-3901 Ph: (951) 988-9500 |
| NPI Number | 1982243812 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 03/16/2020 |
| Medicare PECOS PAC ID | 6507754488 |
|---|---|
| Medicare Enrollment ID | O20200522000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982243812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Riverside University Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 Fax: 951-486-4435 | |
Antonio A. Tan, Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553 Phone: 951-485-2744 Fax: 951-485-2749 | |
Dong S. Kim, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11441 Heacock St, Ste. F, Moreno Valley, CA 92557 Phone: 951-243-8000 Fax: 951-243-9707 | |
Planned Parenthood Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 951-222-3101 | |
Joel A Pengson, Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23180 Hemlock Ave, Moreno Valley, CA 92557 Phone: 951-243-6460 | |
John Liquete Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553 Phone: 951-697-1150 | |
Yogendra B Patel,md,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite J, Moreno Valley, CA 92553 Phone: 951-924-9300 Fax: 951-485-0240 |