Rubidoux Family Care Center

LBN: County Of Riverside
Rubidoux Family Care Center is an health care organization with primary practice located at 5256 Mission Blvd , Riverside CA 92509-4611. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Dental. Agencies / Public Health or Welfare is the primary health care specialty. County Of Riverside can be contacted via phone (951) 955-0840, or through Brown, Koen via phone (951) 358-5222.

Contact Information

Primary practice address
5256 Mission Blvd Riverside CA 92509-4611
Phone: (951) 955-0840
Fax: (951) 955-5317
Website:
Map and Directions
Authorized official contact:
Name: Brown, Koen RN, MSN
Phone: (951) 358-5222

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X California
Ambulatory Health Care Facilities / Dental 261QD0000X California

Profile Details

NPI number 1356455299
LBN Legal business name County Of Riverside
DBA Doing business as Rubidoux Family Care Center
Authorized official Brown, Koen RN, MSN
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Jun 11th, 2009 - about 16 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 1356455299 NPPES
California MEDICAID EXE70155F

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