Provider Type Icon

COASTAL HEALTH ALLIANCE NPI 1356732325


NPI Information

NPI: 1356732325
Provider Name: COASTAL HEALTH ALLIANCE

Doing Business As: POINT REYES MEDICAL CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D0674680

Address:
503 B STREET
POINT REYES STATION, CA
ZIP 94956
Phone: (415) 663-8666
Get Directions

COASTAL HEALTH ALLIANCE is a federally qualified health center (fqhc) clinic center in Point Reyes Station, CA. COASTAL HEALTH ALLIANCE NPI is 1356732325. The provider is registered as an organization entity type.
The provider Is Doing Business As Point Reyes Medical Clinic.

The provider's business location address is:

503 B STREET
POINT REYES STATION, CA
ZIP 94956
Phone: (415) 663-8666
Fax: (415) 663-9532

The provider's authorized official is Steven P Siegel .
The authorized official title is Executive Director and has the following contact phone number (415) 663-8781.

The CLIA number assigned to this NPI record is 05D0674680 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/12/2015 and was last updated on 2/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.