Organization
MARIN COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SHIPP (CHIEF EXECUTIVE OFFICER)
(415) 475-4572
Entity
Organization
Contact information
Practice address
411 4TH STRTEET, SUITE A, SAN RAFAEL, CA 94901
(415) 798-3106
(415) 798-3104
Mailing address
9 COMMERCIAL BLVD STE 103, NOVATO, CA 94949-6118
(415) 798-3106
(415) 798-3104
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
06/27/2025
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