Organization
MARIN COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ANN SHIPP (CEO)
(916) 879-2071
Entity
Organization
Contact information
Practice address
6090 REDWOOD BLVD, NOVATO, CA 94945-4569
(415) 448-1500
(415) 461-7334
Mailing address
9 COMMERCIAL BLVD STE 103, NOVATO, CA 94949-6118
(415) 448-1500
(415) 798-3180
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
110000366
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC11975
—
CA
Enumeration date
10/03/2006
Last updated
02/19/2026
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