institution
Petaluma Health Center Inc
Federally Qualified Health Center (FQHC) in Petaluma, California
NPI 1588656268

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 Petaluma, CA. The NPI Number for Petaluma Health Center Inc is 1588656268 and holds a License No. (California).

The current practice location address for Petaluma Health Center Inc is 1179 N Mcdowell Blvd, Petaluma, CA and can be reached out via phone at 707-559-7500 and via fax at 707-559-7620.

Location: 1179 N Mcdowell Blvd, Petaluma, CA, 94954-6559
institution
Provider Profile Details
NPI Number
1588656268
Provider Name
Petaluma Health Center Inc
Credential
Provider Entity Type
Organization
Address
1179 N Mcdowell Blvd, Petaluma, CA, 94954-6559
Phone Number
707-559-7500
Fax Number
707-559-7620
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCP70696F 05 CA
EAP70696F 05 CA
FHC70696F 05 CA
551879 01 CA MEDICARE NGS
HAP70696F 05 CA
institution
Provider Business Practice Location Address Details
Address
1179 N Mcdowell Blvd
City
State
Zip
94954-6559
Phone Number
707-559-7500
Fax Number
707-559-7620
person
Provider Business Mailing Address Details
Address
1179 N Mcdowell Blvd
City
State
Zip
94954-6559
Phone Number
707-559-7500
Fax Number
707-559-7620
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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