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
Fax: (951) 471-4205
Website:
Authorized official contact:
Name: Brown, Koen RN, MSN

Health care specialties

SpecialtyCodeLicense #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 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 1396859179 NPPES
California MEDICAID FHC70724F
California Other HAP70724F
California Other BCP70724F

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