institution
Petaluma Health Center Inc
Federally Qualified Health Center (FQHC) in Point Reyes Station, California
NPI 1053420844

Petaluma Health Center Inc is a Federally Qualified Health Center (FQHC) based in Petaluma, CA and is specialized in Federally Qualified Health Center (FQHC). Petaluma Health Center Inc practices in Point Reyes Station, CA. The NPI Number for Petaluma Health Center Inc is 1053420844 and holds a License No. 110000399 (California).

The current practice location address for Petaluma Health Center Inc is 3 Sixth Street, Point Reyes Station, CA and can be reached out via phone at 415-663-8666 and via fax at 415-663-9532.

Location: 3 Sixth Street, Point Reyes Station, CA, 94954-6503
institution
Provider Profile Details
NPI Number
1053420844
Provider Name
Petaluma Health Center Inc
Credential
Provider Entity Type
Organization
Address
3 Sixth Street, Point Reyes Station, CA, 94954-6503
Phone Number
415-663-8666
Fax Number
415-663-9532
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
BCP70434F 05 CA
HAP70434F 05 CA
FHC70434F 05 CA
EAP70434F 05 CA
institution
Provider Business Practice Location Address Details
Address
3 Sixth Street
City
State
Zip
94956-0910
Phone Number
415-663-8666
Fax Number
415-663-9532
person
Provider Business Mailing Address Details
Address
3 Sixth Street
City
State
Zip
94956-0910
Phone Number
415-663-8666
Fax Number
415-663-9532
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
110000399 (California)
Definition
Definition to come...
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