Organization
MARIN COMMUNITY CLINIC
Active
Organization
MARIN COMMUNITY CLINIC
Active
Other names
Marin Community Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SHEN DSW (EXECUTIVE DIRECTOR)
(415) 798-3107
Entity
Organization
Contact information
Practice address
6090 REDWOOD BLVD, SUITE D, NOVATO, CA 94945-4569
(415) 798-3109
(415) 798-3180
Mailing address
6090 REDWOOD BLVD, SUITE G, NOVATO, CA 94945-4569
(415) 798-3109
(415) 798-3180
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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