Organization
MARIN COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M SKELLY CPC (REVENUE CREDENTIALING MANAGER)
(415) 798-3135
Entity
Organization
Contact information
Practice address
1260 S ELISEO DR STE 201, GREENBRAE, CA 94904-2009
(415) 448-1500
(415) 798-3104
Mailing address
PO BOX 5008, NOVATO, CA 94948-5008
(415) 798-3135
(415) 798-3104
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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