URBAN COMMUNITY ACTION PROJECTS
Ambulatory Health at Van Buren St, Indio, CA

License number
California 550002869
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: MS. ELIZABETH L WAGNER
Title: COO
Phone: (951) 595-4160
Address
Address 2
47470 Van Buren St, Indio, CA 92201
2880 Hulen Pl, Riverside, CA 92507
National Provider ID: 1154758654
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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URBAN COMMUNITY ACTION PROJECTS

Riverside, CA

Industry:
Social Services
Registration:
Apr 18, 2002
Addresses:
4495 Magnolia Ave, Riverside, CA 92501
6180 Brockton Ave, Riverside, CA 92506
PO Box 1445, Riverside, CA 92502
3340 Durahart St, Riverside, CA 92507
State ID:
02395923
Business type:
Articles of Incorporation
Presidents:
Beth Wagner (President),Mark Ashley President, inactive, 203 W Olive St, Redlands, CA 92373,Leroy Wm Nattress President, inactive,...
EIN:
043656147

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