Organization
PETALUMA HEALTH CENTER, INC
Active
Other names
Mary Isaak Center Clinic, Mary Isaak Homeless Shelter Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY JOUANEH (CFO)
(707) 559-7500
Entity
Organization
Contact information
Practice address
900 HOPPER ST, PETALUMA, CA 94952-3388
(707) 559-7500
Mailing address
1455 N MCDOWELL BLVD STE D, PETALUMA, CA 94954-6503
(707) 559-7500
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
04/22/2024
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