Organization · Type 2 NPI
Petaluma Health Center, Inc
Federally Qualified Health Center (FQHC) · Petaluma, CA
NPI number
1801655873
Active
Practice location
500 Vallejo St
Petaluma, CA 94952-3364
Mailing address
1455 N Mcdowell Blvd Ste D
Petaluma, CA 94954-6503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1801655873
Petaluma Health Center, Inc's National Provider Identifier is 1801655873, issued on Mar 13, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Petaluma, CA. The record was last updated on Apr 22, 2024.