Stinson Beach Medical Center

LBN: Coastal Health Alliance
Stinson Beach Medical Center is an health care organization with primary practice located at 3419 State Route One , Stinson Beach CA 94970-0978. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Coastal Health Alliance can be contacted via phone (415) 868-9656, or through Severson, John via phone (415) 663-8781.

Contact Information

Primary practice address
3419 State Route One Stinson Beach CA 94970-0978
Phone: (415) 868-9656
Fax: (415) 868-2858
Website:
Map and Directions
Authorized official contact:
Name: Severson, John
Phone: (415) 663-8781

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 110000413 California

Profile Details

NPI number 1255441358
LBN Legal business name Coastal Health Alliance
DBA Doing business as Stinson Beach Medical Center
Authorized official Severson, John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255441358 NPPES
California MEDICAID FHC53833F

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