Marin Community Clinic in Novato - Federally Qualified Health Center (fqhc)
Marin Community Clinic - NPI 1669690079
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 1669690079. The last update date is 2009-06-10.
Marin Community Clinic's current location address is 6090 Redwood Blvd, Novato, California. You can contact this provider via phone number 4154481500 and fax number 4157983180. The mailing address for Marin Community Clinic is 6090 Redwood Blvd, Novato, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marin Community Clinic |
|---|---|
| Address | 6090 Redwood Blvd, Novato, California |
| Phone Number | 4154481500 |
| Fax Number | 4157983180 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL ST |
|---|---|
| Authorized Official Name | Cruz Kathy |
| Telephone Number | 4154481579 |
NPI Number Detail
| NPI Number | 1669690079 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2009-06-10 |
Provider Mailing Address Detail
| Address | 6090 Redwood Blvd |
|---|---|
| City | Novato |
| State | California (CA) |
| Post Code | 949454569 |
| Phone Number | 4154481500 |
| Fax Number | 4157983180 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| EAP11975F | CA | -- |
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) 1669690079. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Marin Community Clinic is physically located?
The Marin Community Clinic is situated at the following address: 6090 Redwood Blvd, Novato, CA 949454569.
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 1669690079 to Marin Community Clinic?
The Marin Community Clinic received its 1669690079 assignment from the Centers for Medicare & Medicaid Services on 2007-04-23.
As of what date was the information regarding Marin Community Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marin Community Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-06-10.