| San Antonio High School-based Health Center | |
|
500 Vallejo St Petaluma CA 94952-3364 | |
| (707) 559-7500 | |
| Not Available |
| Full Name | San Antonio High School-based Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 500 Vallejo St, 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 |
|---|---|
| San Antonio High School-based Health Center 1455 N Mcdowell Blvd Ste D Petaluma CA 94954-6503 Ph: (707) 559-7500 | San Antonio High School-based Health Center 500 Vallejo St Petaluma CA 94952-3364 Ph: (707) 559-7500 |
| NPI Number | 1801655873 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801655873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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