Stinson Beach Medical Center | |
3419 State Route One Stinson Beach CA 94970-0978 | |
(415) 868-9656 | |
(415) 868-2858 |
Full Name | Stinson Beach Medical Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3419 State Route One, Stinson Beach, California |
Authorized Official Name and Position | John Severson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4156638781 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stinson Beach Medical Center Po Box 910 Point Reyes Station CA 94956-0910 Ph: (415) 663-8781 | Stinson Beach Medical Center 3419 State Route One Stinson Beach CA 94970-0978 Ph: (415) 868-9656 |
NPI Number | 1255441358 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 04/07/2008 |
Identifier | Type | State | Issuer |
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1255441358 | NPI | - | NPPES |
FHC53833F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000413 (California) | Primary |