institution
Petaluma Health Center Inc
Federally Qualified Health Center (FQHC) in Bolinas, California
NPI 1760584049

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 Bolinas, CA. The NPI Number for Petaluma Health Center Inc is 1760584049 and holds a License No. 110000397 (California).

The current practice location address for Petaluma Health Center Inc is 88 Mesa Rd, Bolinas, CA and can be reached out via phone at 415-868-0124 and via fax at 415-868-2152.

Location: 88 Mesa Rd, Bolinas, CA, 94954-6503
institution
Provider Profile Details
NPI Number
1760584049
Provider Name
Petaluma Health Center Inc
Credential
Provider Entity Type
Organization
Address
88 Mesa Rd, Bolinas, CA, 94954-6503
Phone Number
415-868-0124
Fax Number
415-868-2152
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC03885G 05 CA
institution
Provider Business Practice Location Address Details
Address
88 Mesa Rd
City
State
Zip
94924-9713
Phone Number
415-868-0124
Fax Number
415-868-2152
person
Provider Business Mailing Address Details
Address
88 Mesa Rd
City
State
Zip
94924-9713
Phone Number
415-868-0124
Fax Number
415-868-2152
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
110000397 (California)
Definition
Definition to come...
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