Marin Community Clinic in Novato - Federally Qualified Health Center (fqhc)
Marin Community Clinic - NPI 1124021738
Marin Community Clinic is a Federally Qualified Health Center (fqhc) in Novato, California. Marin Community Clinic practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Marin Community Clinic is 1124021738. The last update date is 2020-08-22.
Marin Community Clinic's current location address is 300 Professional Center Dr, Novato, California. You can contact this provider via phone number 4154481531. The mailing address for Marin Community Clinic is 300 Professional Center Dr, Novato, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marin Community Clinic |
|---|---|
| Address | 300 Professional Center Dr, Novato, California |
| Phone Number | 4154481531 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Navarro Tyrone |
| Telephone Number | 4154481531 |
NPI Number Detail
| NPI Number | 1124021738 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 300 Professional Center Dr |
|---|---|
| City | Novato |
| State | California (CA) |
| Post Code | 9494743340 |
| Phone Number | 4154481531 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 1100366 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC11975 | CA | -- | |
| 1100366 | CA | DHS LICENSE - GREENBRAE |
Post Comment/ Review Below
What is the unique identifier code issued to Marin Community Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Marin Community Clinic has been assigned the NPI (National Provider Identifier) 1124021738. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Marin Community Clinic's specialty and taxonomy code?
The Marin Community Clinic's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
What is the area of specialization for Marin Community Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marin Community Clinic is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124021738 to Marin Community Clinic?
The Marin Community Clinic received its 1124021738 assignment from the Centers for Medicare & Medicaid Services on 2005-05-27.
When was the Marin Community Clinic's information last updated?
The Marin Community Clinic's information was last updated on 2020-08-22.
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