MARIN HEALTHCARE DISTRICT NPI 1669745337

NPI Information

NPI: 1669745337
Provider Name: MARIN HEALTHCARE DISTRICT

Other Name: SAN RAFAEL MEDICAL CENTER

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
706 D ST
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 256-1980
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MARIN HEALTHCARE DISTRICT is an adult medicine family medicine in San Rafael, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MARIN HEALTHCARE DISTRICT NPI is 1669745337. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is San Rafael Medical Center.

The provider's business location address is:

706 D ST
SAN RAFAEL, CA
ZIP 94901-757
Phone: (415) 256-1980
Fax: (415) 256-1981

The provider's authorized official is Lee Domanico .
The authorized official title is Ceo and has the following contact phone number (415) 464-2090.

The enumeration date for this NPI number is 2/10/2012 and was last updated on 10/31/2013.

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	207QA0505X	Family Medicine	Adult Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CS440A	OTHER	CALIFORNIA	MEDICARE GROUP PTAN

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: 4/28/2024

NPI Synchronization or Removal

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