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COUNTY OF MONTEREY NPI 1588617955


NPI Information

NPI: 1588617955
Provider Name: COUNTY OF MONTEREY

Doing Business As: MONTEREY COUNTY HEALTH CLINIC AT MARINA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2024666

Address:
3155 DE FOREST RD.
MARINA, CA
ZIP 93933
Phone: (831) 384-1445
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COUNTY OF MONTEREY is a family medicine in Marina, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COUNTY OF MONTEREY NPI is 1588617955. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Monterey County Health Clinic At Marina.

The provider's business location address is:

3155 DE FOREST RD.
MARINA, CA
ZIP 93933-702
Phone: (831) 384-1445
Fax: (831) 384-1454

The provider's authorized official is Julia Claire Edgcomb .
The authorized official title is Director/coo Clinic Services Div. and has the following contact phone number (831) 796-1386.

The CLIA number assigned to this NPI record is 05D2024666 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/18/2006 and was last updated on 6/16/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ02040ZOTHERCALIFORNIAPTAN
2HAP70655FMEDICAIDCALIFORNIA
3BCP70655FMEDICAIDCALIFORNIA
4BCP70530FOTHERCALIFORNIABCEDP
5FHC70655FMEDICAIDCALIFORNIA

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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