San Rafael Medical Center

LBN: Marin Healthcare District
San Rafael Medical Center is an health care organization with primary practice located at 706 D St , San Rafael CA 94901-3757. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Marin Healthcare District can be contacted via phone (415) 256-1980, or through Domanico, Lee via phone (415) 464-2090.

Contact Information

Primary practice address
706 D St San Rafael CA 94901-3757
Phone: (415) 256-1980
Fax: (415) 256-1981
Website:
Map and Directions
Authorized official contact:
Name: Domanico, Lee
Phone: (415) 464-2090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1669745337
LBN Legal business name Marin Healthcare District
DBA Doing business as San Rafael Medical Center
Authorized official Domanico, Lee
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2012
Last updated Oct 31st, 2013 - about 11 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 1669745337 NPPES
California Other CS440A MEDICARE GROUP PTAN

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