| Marin Community Clinic | |
|
3110 Kerner Blvd San Rafael CA 94901-5411 | |
| (415) 526-8500 | |
| (415) 526-8553 |
| Full Name | Marin Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3110 Kerner Blvd, San Rafael, 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 Suite103 Novato CA 94949-6118 Ph: (415) 448-1500 | Marin Community Clinic 3110 Kerner Blvd San Rafael CA 94901-5411 Ph: (415) 526-8500 |
| NPI Number | 1154503399 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 01/06/2016 |
| Medicare PECOS PAC ID | 0840108031 |
|---|---|
| Medicare Enrollment ID | O20080104000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154503399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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