institution
Marin Community Clinic
Federally Qualified Health Center (FQHC) in Novato, California
NPI 1790788107

Marin Community Clinic is a Federally Qualified Health Center (FQHC) based in Novato, CA and is specialized in Federally Qualified Health Center (FQHC). Marin Community Clinic practices in Novato, CA. The NPI Number for Marin Community Clinic is 1790788107 and holds a License No. 1100491 (California).

The current practice location address for Marin Community Clinic is 400 Professional Center Dr, Novato, CA and can be reached out via phone at 415-448-1531 and via fax at 415-892-8732.

Location: 400 Professional Center Dr, Novato, CA, 94949
institution
Provider Profile Details
NPI Number
1790788107
Provider Name
Marin Community Clinic
Credential
Provider Entity Type
Organization
Address
400 Professional Center Dr, Novato, CA, 94949
Phone Number
415-448-1531
Fax Number
415-892-8732
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1100491 01 CA DHS LICENSE- NOVATO
FHC70941 05 CA
institution
Provider Business Practice Location Address Details
Address
400 Professional Center Dr
City
State
Zip
94947-4368
Phone Number
415-448-1531
Fax Number
415-892-8732
person
Provider Business Mailing Address Details
Address
400 Professional Center Dr
City
State
Zip
94947-4368
Phone Number
415-448-1531
Fax Number
415-892-8732
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
1100491 (California)
Definition
Definition to come...
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