| Archie Williams High School | |
|
1327 Sir Francis Drake Blvd San Anselmo CA 94960-1800 | |
| (415) 798-3133 | |
| Not Available |
| Full Name | Archie Williams High School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1327 Sir Francis Drake Blvd, San Anselmo, California |
| Authorized Official Name and Position | Farhan Fadoo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4157552581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archie Williams High School 9 Commercial Blvd Ste 103 Novato CA 94949-6118 Ph: (415) 798-3133 | Archie Williams High School 1327 Sir Francis Drake Blvd San Anselmo CA 94960-1800 Ph: (415) 798-3133 |
| NPI Number | 1639996408 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639996408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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