Organization
MARIN GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE DOMANICO (CHIEF EXEC. OFFICER)
(415) 925-7100
Entity
Organization
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 925-7100
(415) 925-7933
Mailing address
PO BOX 8010, SAN RAFAEL, CA 94912-8010
(415) 925-7100
(415) 925-7933
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM003606
—
CA
Enumeration date
01/20/2006
Last updated
08/07/2014
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