| Casa Grande High School Health Clinic | |
|
333 Casa Grande Rd Petaluma CA 94954-5706 | |
| (707) 559-7500 | |
| Not Available |
| Full Name | Casa Grande High School Health Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 333 Casa Grande Rd, Petaluma, California |
| Authorized Official Name and Position | Molly Jouaneh (CFO) |
| Authorized Official Contact | 7075597500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Grande High School Health Clinic 1455 N Mcdowell Blvd Ste D Petaluma CA 94954-6503 Ph: () - | Casa Grande High School Health Clinic 333 Casa Grande Rd Petaluma CA 94954-5706 Ph: (707) 559-7500 |
| NPI Number | 1437918406 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437918406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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