MARIN CITY HEALTH AND WELLNESS CENTER NPI 1457888299

NPI Information

NPI: 1457888299
Provider Name: MARIN CITY HEALTH AND WELLNESS CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
880 LAS GALLINAS AVE
SUITE 2
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 339-8813
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MARIN CITY HEALTH AND WELLNESS CENTER is a federally qualified health center (fqhc) clinic center in San Rafael, CA. MARIN CITY HEALTH AND WELLNESS CENTER NPI is 1457888299. The provider is registered as an organization entity type.

The provider's business location address is:

880 LAS GALLINAS AVE
SUITE 2
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 339-8813

The provider's authorized official is Jayvon Muhammad .
The authorized official title is Chief Executive Officer and has the following contact phone number (415) 339-8813.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 7/11/2018.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	55000861	CALIFORNIA	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

NPI Synchronization or Removal

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