| Coastal Health Alliance | |
|
6350 Sir Francis Drake Blvd. San Geronimo CA 94963 | |
| (415) 663-8666 | |
| (415) 663-9532 |
| Full Name | Coastal Health Alliance |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6350 Sir Francis Drake Blvd., San Geronimo, California |
| Authorized Official Name and Position | Steven P Siegel (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 Point Reyes Station CA 94956-0910 Ph: (415) 663-8781 | Coastal Health Alliance 6350 Sir Francis Drake Blvd. San Geronimo CA 94963 Ph: (415) 663-8666 |
| NPI Number | 1073904025 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073904025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |