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NPI Code Detail

MEDICARE: COUNTY OF RIVERSIDE

MEDICARE: COUNTY OF RIVERSIDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649345018
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF RIVERSIDE
Provider Business Mailing Address
First Line : PO BOX 7549
Second Line :
City : RIVERSIDE
State : CA
Zip : 92513-7549
Country : US
Telephone Number : 951-358-6900
Fax Number : 951-358-6905
Provider Business Practice Location Address
First Line : 3625 14TH ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3815
Country : US
Telephone Number : 951-358-6919
Fax Number : 951-358-7312
Authorized Official
Title or Position : DIRECTOR RUHS - BEHAVIORAL HEALTH
Name : DR. MATTHEW CHANG
Credential :
Telephone Number : 951-358-4501
Provider Enumeration Date : 11/21/2006
Last Update Date : 09/09/2022

Similar Medicare Providers

1720828999 — STEVNE OWENS
Practice Location Address:
3625 14TH ST
RIVERSIDE, CA
92501-3815
Practice Phone: 951-358-3659
Practice Fax:
1326124751 — PRAISE C MILNER M.S., LMFT
Practice Location Address:
3625 14TH ST
RIVERSIDE, CA
92501-3815
Practice Phone: 951-955-1540
Practice Fax: 951-955-6934
1609990878 — MR. DARRELL PRICE
Practice Location Address:
3625 14TH ST
RIVERSIDE, CA
92501-3815
Practice Phone: 951-955-1517
Practice Fax:
1588788806 — MRS. JOYCE DIANE HARDEN MFT
Practice Location Address:
3625 14TH ST
RIVERSIDE, CA
92501-3815
Practice Phone: 951-955-1540
Practice Fax: 951-955-1610
1134249733 — MRS. CHRISTINE MARIE HOLLIS
Practice Location Address:
3625 14TH ST
RIVERSIDE, CA
92501-3815
Practice Phone: 951-955-1570
Practice Fax:
1558482653 — SANDY LAGINA RICKS
Practice Location Address:
3625 14TH ST
RIVERSIDE, CA
92501-3815
Practice Phone: 951-955-7540
Practice Fax: 951-955-1610

Directions to “COUNTY OF RIVERSIDE ” Practice Location

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