| Coastal Health Alliance | |
|
65 Third Street, Suite 17 Point Reyes Station CA 94956-0910 | |
| (415) 663-8781 | |
| (415) 663-9630 |
| Full Name | Coastal Health Alliance |
|---|---|
| Speciality | Family Medicine |
| Location | 65 Third Street, Suite 17, Point Reyes Station, California |
| Authorized Official Name and Position | Rafael Gomez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4156638781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Health Alliance Po Box 910 65 Third Street, Suite 17 Point Reyes Station CA 94956-0910 Ph: (415) 663-8781 | Coastal Health Alliance 65 Third Street, Suite 17 Point Reyes Station CA 94956-0910 Ph: (415) 663-8781 |
| NPI Number | 1699956839 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 02/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699956839 | NPI | - | NPPES |
| EAP70434F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Petaluma Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Sixth Street, Point Reyes Station, CA 94956 Phone: 415-663-8666 Fax: 415-663-9532 | |
Marin Healthcare District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11150 Highway 1, Point Reyes Station, CA 94956 Phone: 415-663-1082 Fax: 415-663-9474 | |
Coastal Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 B Street, Point Reyes Station, CA 94956 Phone: 415-663-8666 Fax: 415-663-9532 | |
Colin Hamblin, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11150 Highway 1, Point Reyes Station, CA 94956 Phone: 415-663-1082 Fax: 415-663-9474 |