COASTAL HEALTH ALLIANCE NPI 1922499979

NPI Information

COASTAL HEALTH ALLIANCE is a federally qualified health center (fqhc) clinic center in Bolinas, CA. COASTAL HEALTH ALLIANCE NPI is 1922499979. 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:

451 MESA ROAD
BOLINAS, CA
ZIP 94924
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 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:

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