Organization · Type 2 NPI

Petaluma Health Center, Inc

Federally Qualified Health Center (FQHC) · Petaluma, CA

NPI number 1972362952 Active

Practice location

680 Sonoma Mountain Pkwy
Petaluma, CA 94954-8553

Call (707) 559-7500 Map

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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NPI record

NPI: 1972362952
Entity type: Organization (Type 2)
Issued: Mar 13, 2024
Last updated: Apr 22, 2024
Status: Active

Other names

<unavail>
SRJC Petaluma Campus Student Health Services Clinic · doing business as
Santa Rosa Junior College - Petaluma Campus - Student Health Services · doing business as

Authorized official

Molly Jouaneh
CFO
(707) 559-7500

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About NPI 1972362952

Petaluma Health Center, Inc's National Provider Identifier is 1972362952, 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.