Marin Community Clinic

LBN: Marin Community Clinic
Marin Community Clinic is an health care organization with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904-1702. 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. Marin Community Clinic can be contacted via phone (415) 448-1500, or through Navarro, Tyrone via phone (415) 448-1531.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904-1702
Phone: (415) 448-1500
Fax: (415) 461-4229
Website:
Map and Directions
Authorized official contact:
Name: Navarro, Tyrone
Phone: (415) 448-1531

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 1100366 California

Profile Details

NPI number 1124021738
LBN Legal business name Marin Community Clinic
DBA Doing business as
Authorized official Navarro, Tyrone
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1124021738 NPPES
California MEDICAID FHC11975
California Other 1100366

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