| University Community Health Center | |
|
2933 University Ave Riverside CA 92507-4243 | |
| (951) 224-8220 | |
| (951) 241-7290 |
| Full Name | University Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2933 University 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 |
|---|---|
| University Community Health Center 22675 Alessandro Blvd Moreno Valley CA 92553-8551 Ph: (951) 571-2300 | University Community Health Center 2933 University Ave Riverside CA 92507-4243 Ph: (951) 224-8220 |
| NPI Number | 1205102068 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/20/2019 |
| Medicare PECOS PAC ID | 7012824717 |
|---|---|
| Medicare Enrollment ID | O20130628000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205102068 | NPI | - | NPPES |
| 1952308009 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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