Magnolia Community Health Center | |
9380 Magnolia Ave Riverside CA 92503-3749 | |
(951) 571-2300 | |
(951) 571-2330 |
Full Name | Magnolia Community Health Center |
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Speciality | Clinic/Center |
Location | 9380 Magnolia Ave, Riverside, California |
Authorized Official Name and Position | Lori Holeman (CEO) |
Authorized Official Contact | 9515712300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Magnolia Community Health Center 21801 Alessandro Blvd Moreno Valley CA 92553-8202 Ph: (951) 571-2300 | Magnolia Community Health Center 9380 Magnolia Ave Riverside CA 92503-3749 Ph: (951) 571-2300 |
NPI Number | 1548538911 |
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Provider Enumeration Date | 12/13/2011 |
Last Update Date | 01/16/2024 |
Medicare PECOS PAC ID | 7012824717 |
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Medicare Enrollment ID | O20130507000744 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548538911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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