Eastside Community Health Clinic

LBN: Community Health Systems Inc
Eastside Community Health Clinic is an health care organization with primary practice located at 1744 University Ave , Riverside CA 92507-5364. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Health Systems Inc can be contacted via phone (951) 224-8220, or through Johns, Jack E via phone (951) 571-2300.

Contact Information

Primary practice address
1744 University Ave Riverside CA 92507-5364
Phone: (951) 224-8220
Fax: (951) 224-8230
Website:
Map and Directions
Authorized official contact:
Name: Johns, Jack E
Phone: (951) 571-2300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 47987 California
Dental Providers / Dentist 122300000X 40093 California
Dental Providers / Dentist 122300000X 27343 California
Dental Providers / Dentist 122300000X 58321 California
Dental Providers / General Practice 1223G0001X 40996 California
Dental Providers / General Practice 1223G0001X 40734 California
Dental Providers / Pediatric Dentistry 1223P0221X 46894 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A50693 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A86874 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11901 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15571 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11428 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 250000756 California

Profile Details

NPI number 1669524534
LBN Legal business name Community Health Systems Inc
DBA Doing business as Eastside Community Health Clinic
Authorized official Johns, Jack E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Sep 2nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669524534 NPPES
California MEDICAID 1669524534
California MEDICAID EAP70324F

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