# MARIN COMMUNITY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780292912
- **Authorized official:** ANDREA M SKELLY CPC (REVENUE CREDENTIALING MANAGER)
- **Authorized official phone:** (415) 798-3135

## Contact information

- **Practice address:** 1260 S ELISEO DR STE 201, GREENBRAE, CA 94904-2009
- **Practice address phone:** (415) 448-1500
- **Practice address fax:** (415) 798-3104
- **Mailing address:** PO BOX 5008, NOVATO, CA 94948-5008
- **Mailing address phone:** (415) 798-3135
- **Mailing address fax:** (415) 798-3104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 07/14/2020