Coastal Health Alliance in Stinson Beach - Federally Qualified Health Center (fqhc)
Coastal Health Alliance - NPI 1255441358
Coastal Health Alliance is a Federally Qualified Health Center (fqhc) in Stinson Beach, California. Coastal Health Alliance practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Coastal Health Alliance is 1255441358. The last update date is 2008-04-07.
Coastal Health Alliance's current location address is 3419 State Route One, Stinson Beach, California. You can contact this provider via phone number 4158689656 and fax number 4158682858. The mailing address for Coastal Health Alliance is 3419 State Route One, Stinson Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Health Alliance |
|---|---|
| Address | 3419 State Route One, Stinson Beach, California |
| Phone Number | 4158689656 |
| Fax Number | 4158682858 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Severson John |
| Telephone Number | 4156638781 |
NPI Number Detail
| NPI Number | 1255441358 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 3419 State Route One |
|---|---|
| City | Stinson Beach |
| State | California (CA) |
| Post Code | 949700978 |
| Phone Number | 4158689656 |
| Fax Number | 4158682858 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 110000413 |
|
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 |
|---|---|---|---|
| FHC53833F | CA | -- |
Post Comment/ Review Below
What is the Coastal Health Alliance's unique identification number?
The Coastal Health Alliance has been assigned the NPI (National Provider Identifier) Number 1255441358 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Coastal Health Alliance's facilities are situated?
The facilities of Coastal Health Alliance are physically located at the following address: 3419 State Route One, Stinson Beach, CA, 949700978.
What is Coastal Health Alliance's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Coastal Health Alliance is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did Coastal Health Alliance receive its 1255441358 assignment from the Centers for Medicare & Medicaid Services?
The Coastal Health Alliance was assigned its 1255441358 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Coastal Health Alliance most recently updated?
The details pertaining to the Coastal Health Alliance, including its address, specialty, and other relevant information, were last refreshed on 2008-04-07.