| Monterey County Health Clinic At Marina | |
|
3155 De Forest Rd. Marina CA 93933-2702 | |
| (831) 384-1445 | |
| (831) 384-1454 |
| Full Name | Monterey County Health Clinic At Marina |
|---|---|
| Speciality | Family Medicine |
| Location | 3155 De Forest Rd., Marina, California |
| Authorized Official Name and Position | Julia Claire Edgcomb (DIRECTOR/COO CLINIC SERVICES DIV.) |
| Authorized Official Contact | 8317961386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monterey County Health Clinic At Marina 1441 Schilling Place South Bldg Floor 1 Salinas CA 93901-4527 Ph: (831) 796-1308 | Monterey County Health Clinic At Marina 3155 De Forest Rd. Marina CA 93933-2702 Ph: (831) 384-1445 |
| NPI Number | 1588617955 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 06/16/2017 |
| Medicare PECOS PAC ID | 2466345632 |
|---|---|
| Medicare Enrollment ID | O20091016000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588617955 | NPI | - | NPPES |
| HAP70655F | Medicaid | CA | |
| BCP70655F | Medicaid | CA | |
| BCP70530F | Other | CA | BCEDP |
| FHC70655F | Medicaid | CA | |
| ZZZ02040Z | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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