Marin Community Clinic | |
700 Miller Ave Mill Valley CA 94941-2926 | |
(415) 798-3133 | |
Not Available |
Full Name | Marin Community Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 700 Miller Ave, Mill Valley, 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 |
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Marin Community Clinic 9 Commercial Blvd Ste 103 Novato CA 94949-6118 Ph: (415) 798-3133 | Marin Community Clinic 700 Miller Ave Mill Valley CA 94941-2926 Ph: (415) 798-3133 |
NPI Number | 1720805591 |
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Provider Enumeration Date | 09/24/2024 |
Last Update Date | 09/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720805591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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