Lake Elsinore Family Care Center
LBN: County Of Riverside
Lake Elsinore Family Care Center is an health care organization with primary practice located at 2499 E Lakeshore Dr , Lake Elsinore CA 92530-4446. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
County Of Riverside can be contacted via phone (951) 471-4200, or through Brown, Koen via phone (951) 358-5222.
Contact Information
Primary practice address
2499 E Lakeshore Dr
Lake Elsinore CA 92530-4446
Phone: (951) 471-4200
Fax: (951) 471-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Public Health or Welfare | 251K00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 250000542 | California |
Profile Details
| NPI number | 1396859179 |
|---|---|
| LBN Legal business name | County Of Riverside |
| DBA Doing business as | Lake Elsinore Family Care Center |
| Authorized official | Brown, Koen RN, MSN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 12th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396859179 | NPPES |
| California | Other | BCP70724F | CANCER DETECTION PROGRAM |
| California | MEDICAID | FHC70724F | CANCER DETECTION PROGRAM |
| California | Other | HAP70724F | CANCER DETECTION PROGRAM |
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