Organization · Type 2 NPI

Marin Community Clinic

Federally Qualified Health Center (FQHC) · San Rafael, CA

NPI number 1508514902 Active

Practice location

1618 2nd St
San Rafael, CA 94901-2707

Call (415) 448-1500 Map

Fax (415) 798-3104

Mailing address

PO Box 5008
Novato, CA 94948-5008

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Family Nurse Practitioner 363LF0000XNone listed

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About NPI 1508514902

Marin Community Clinic's National Provider Identifier is 1508514902, issued on Mar 15, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Rafael, CA. The record was last updated on Oct 3, 2022.