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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 : 1356417273
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 : 3933 HARRISON ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3523
Country : US
Telephone Number : 951-600-6801
Fax Number :
Authorized Official
Title or Position : DIRECTOR RUHS - BEHAVIORAL HEALTH
Name : DR. MATTHEW CHANG
Credential :
Telephone Number : 951-358-4500
Provider Enumeration Date : 11/24/2006
Last Update Date : 09/09/2022

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Directions to “COUNTY OF RIVERSIDE ” Practice Location

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