Marin Community Clinic in Novato - Federally Qualified Health Center (fqhc)
Marin Community Clinic - NPI 1003900101
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 1003900101. The last update date is 2016-01-06.
Marin Community Clinic's current location address is 9 Commercial Blvd, Novato, California. You can contact this provider via phone number 4154481500 and fax number 4157983180. The mailing address for Marin Community Clinic is 9 Commercial Blvd, Novato, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marin Community Clinic |
|---|---|
| Address | 9 Commercial Blvd, Novato, California |
| Phone Number | 4154481500 |
| Fax Number | 4157983180 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Udall Deborah |
| Telephone Number | 4157983106 |
NPI Number Detail
| NPI Number | 1003900101 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2016-01-06 |
Provider Mailing Address Detail
| Address | 9 Commercial Blvd |
|---|---|
| City | Novato |
| State | California (CA) |
| Post Code | 949496118 |
| Phone Number | 4154481500 |
| Fax Number | 4157983180 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 110000491 |
|
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 |
|---|---|---|---|
| FHC70941 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marin Community Clinic by the Centers for Medicare & Medicaid Services?
The Marin Community Clinic has been assigned the NPI (National Provider Identifier) 1003900101. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Marin Community Clinic is geographically located?
The Marin Community Clinic is physically situated at the following location: 9 Commercial Blvd, Novato, CA, 949496118.
What is Marin Community Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marin Community Clinic is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003900101 to Marin Community Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1003900101 to Marin Community Clinic on 2006-10-03.
When was the information related to Marin Community Clinic most recently updated or refreshed?
The details pertaining to the Marin Community Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-06.