BAYSIDE MARIN INC. NPI 1417495623

NPI Information

NPI: 1417495623
Provider Name: BAYSIDE MARIN, INC.

Other Name: BAYSIDE MARIN OUTPATIENT

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
718 4TH ST
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 450-0031
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BAYSIDE MARIN, INC. is a rehabilitation and substance use disorder clinic center in San Rafael, CA. BAYSIDE MARIN, INC. NPI is 1417495623. The provider is registered as an organization entity type.
The provider Other Name Is Bayside Marin Outpatient.

The provider's business location address is:

718 4TH ST
SAN RAFAEL, CA
ZIP 94901-213
Phone: (415) 450-0031

The provider's authorized official is Christopher Howard .
The authorized official title is Vp And Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/14/2023.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	210030CP	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: 4/28/2024

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