| Marin Community Clinic | |
|
5 Bon Air Rd Larkspur CA 94939-1143 | |
| (415) 448-1500 | |
| (415) 461-7334 |
| Full Name | Marin Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Bon Air Rd, Larkspur, California |
| Authorized Official Name and Position | Deborah Udall (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Contact | 4157983106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin Community Clinic 9 Commercial Blvd Suite 103 Novato CA 94949-6118 Ph: (415) 448-1500 | Marin Community Clinic 5 Bon Air Rd Larkspur CA 94939-1143 Ph: (415) 448-1500 |
| NPI Number | 1912091018 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/06/2016 |
| Medicare PECOS PAC ID | 0840108031 |
|---|---|
| Medicare Enrollment ID | O20050413000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912091018 | NPI | - | NPPES |
| FHC11975 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000366 (California) | Primary |
Adrian Rawlinson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Piedmont Rd, Larkspur, CA 94939 Phone: 415-640-4700 |