Point Reyes Medical Clinic | |
3 Sixth Street Point Reyes Station CA 94956-0910 | |
(415) 663-8666 | |
(415) 663-9532 |
Full Name | Point Reyes Medical Clinic |
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Speciality | Clinic/Center |
Location | 3 Sixth Street, Point Reyes Station, California |
Authorized Official Name and Position | Molly Jouaneh (CFO) |
Authorized Official Contact | 7075597500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Point Reyes Medical Clinic 1455 N Mcdowell Blvd Ste D Petaluma CA 94954-6503 Ph: (707) 559-7500 | Point Reyes Medical Clinic 3 Sixth Street Point Reyes Station CA 94956-0910 Ph: (415) 663-8666 |
NPI Number | 1053420844 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 06/08/2021 |
Medicare PECOS PAC ID | 9133180375 |
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Medicare Enrollment ID | O20200827001659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053420844 | NPI | - | NPPES |
BCP70434F | Medicaid | CA | |
HAP70434F | Medicaid | CA | |
FHC70434F | Medicaid | CA | |
EAP70434F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000399 (California) | Primary |
West Marin Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11150 Highway 1, Point Reyes Station, CA 94956 Phone: 415-663-1082 Fax: 415-663-9474 | |
Point Reyes Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 B Street, Point Reyes Station, CA 94956 Phone: 415-663-8666 Fax: 415-663-9532 | |
Colin Hamblin, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11150 Highway 1, Point Reyes Station, CA 94956 Phone: 415-663-1082 Fax: 415-663-9474 | |
Coastal Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Third Street, Suite 17, Point Reyes Station, CA 94956 Phone: 415-663-8781 Fax: 415-663-9630 |