Petaluma Health Center Inc in Petaluma - Federally Qualified Health Center (fqhc)
Petaluma Health Center Inc - NPI 1760584049
Petaluma Health Center Inc is a Federally Qualified Health Center (fqhc) in Petaluma, California. Petaluma Health Center Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Petaluma Health Center Inc is 1760584049. The last update date is 2021-06-08.
Petaluma Health Center Inc's current location address is 1455 N Mcdowell Blvd Ste D, Petaluma, California. You can contact this provider via phone number 7075597500. The mailing address for Petaluma Health Center Inc is 1455 N Mcdowell Blvd Ste D, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petaluma Health Center Inc |
|---|---|
| Address | 1455 N Mcdowell Blvd Ste D, Petaluma, California |
| Phone Number | 7075597500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Jouaneh Molly |
| Telephone Number | 7075597500 |
NPI Number Detail
| NPI Number | 1760584049 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2021-06-08 |
Provider Mailing Address Detail
| Address | 1455 N Mcdowell Blvd Ste D |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949546503 |
| Phone Number | 7075597500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 110000397 |
|
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 |
|---|---|---|---|
| FHC03885G | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Petaluma Health Center Inc by the Centers for Medicare & Medicaid Services?
The Petaluma Health Center Inc has been assigned the NPI (National Provider Identifier) 1760584049. 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 provide the complete physical location address of Petaluma Health Center Inc?
The Petaluma Health Center Inc is physically situated at 1455 N Mcdowell Blvd Ste D, in the city of Petaluma, state of CA, with the postal code 949546503.
What is Petaluma Health Center Inc's area of expertise and its corresponding taxonomy classification?
The Petaluma Health Center Inc's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
When did the Petaluma Health Center Inc receive its 1760584049?
The Petaluma Health Center Inc was issued its 1760584049 on 2006-09-05, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Petaluma Health Center Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Petaluma Health Center Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-08.