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 Cruz, Kathy via phone (415) 448-1579.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904-1702
Phone: (415) 448-1500
Fax: (415) 798-3180
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Kathy
Phone: (415) 448-1579

Health care specialties

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

Profile Details

NPI number 1669690079
LBN Legal business name Marin Community Clinic
DBA Doing business as
Authorized official Cruz, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Jun 10th, 2009 - about 16 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 1669690079 NPPES
California MEDICAID EAP11975F

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