MARIN COMMUNITY CLINIC


Address: 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009
Phone: 4154481500

MARIN COMMUNITY CLINIC (NPI# 1780292912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780292912
Entity Type Organization
Organization Name MARIN COMMUNITY CLINIC
Practice Address 1260 S Eliseo Dr Ste 201
Greenbrae
CA 94904-2009
Mailing Address Po Box 5008
Novato
CA 94948-5008
Practice Telephone 4154481500
Practice Fax Number 4157983104
Mailing Telephone 4157983135
Mailing Fax Number 4157983104
Enumeration Date 2020-07-14
Last Update Date 2020-07-14
Authorized Official Name ANDREA M SKELLY (REVENUE CREDENTIALING MANAGER)
Authorized Official Telephone 4157983135
Authorized Official Credential CPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093292765 Marin Community Clinic Clinic/Center 411 4th Strteet, Suite A, San Rafael, CA 94901 2018-07-25
1790788107 Marin Community Clinic Clinic/Center 400 Professional Center Dr, Ste 424, Novato, CA 94947-4368 2005-05-31
1124021738 Marin Community Clinic Clinic/Center 250 Bon Air Rd, Greenbrae, CA 94904-1702 2005-05-27
1881057115 Marin Community Clinic Clinic/Center 6090 Redwood Blvd, Novato, CA 94945-4569 2016-04-04
1922303437 Marin Community Clinic Clinic/Center 3110 Kerner Blvd, San Rafael, CA 94901-5411 2011-01-13
1912220781 Marin Community Clinic Clinic/Center 6090 Redwood Blvd, Suite D, Novato, CA 94945-4569 2010-03-09
1154503399 Marin Community Clinic Clinic/Center 3110 Kerner Blvd, San Rafael, CA 94901-5411 2007-11-29
1932327343 Marin Community Clinic Clinic/Center 250 Bon Air Rd, Greenbrae, CA 94904-1702 2007-04-23
1669690079 Marin Community Clinic Clinic/Center 250 Bon Air Rd, Greenbrae, CA 94904-1702 2007-04-23
1912091018 Marin Community Clinic Clinic/Center 5 Bon Air Rd, Larkspur, CA 94939-1143 2006-10-03

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MARIN COMMUNITY CLINICS 9 Commercial Blvd Ste 100, Novato, CA 94949-6137

Office Location

Street Address 1260 S ELISEO DR STE 201
City GREENBRAE
State CA
Zip Code 94904-2009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316547193 Pharmedquest Pharmacy Services Pharmacy 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009 2020-10-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295382372 Stacey Nicole Drew Occupational Therapist 4 Ash Ave, Unit 10, Kentfield, CA 94904 2019-08-22
1154781631 Harvey Sparks Specialist/Technologist, Other 350 Bon Air, Ste 100, Greenbrae, CA 94904 2016-02-26
1396120481 Tamena Potts Counselor 1109 Sir Francis Drake, Kentfield, CA 94904 2015-07-30
1598014763 Rupali Ray Chaudhuri Nurse Practitioner 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 2012-09-04
1326304809 Lucy Yingxin Zhang Ophthalmology 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 2012-04-09
1396073185 Bonnie Louise Hoag Marriage & Family Therapist 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 2009-12-07
1801043880 Alexander Vogel Uihlein Internal Medicine 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 2008-08-21
1649426115 Marilyn Thatcher Psychologist 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 2008-08-14
1205007598 Sir Francis Drake Dental Dentist 919 Sir Francis Drake Blvd, Kentfield, CA 94904 2008-03-14
1841401734 Rishi K Wadhwa Neurological Surgery 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 2007-05-24
Find all providers in zip 94904

Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417555061 Pacific Central Coast Health Centers Clinic/Center 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 2020-10-15
1891301578 Vida Community Clinic Clinic/Center 1519 Woodworth St, San Fernando, CA 91340-4153 2020-09-18
1982210522 Life Helping Hands Inc Clinic/Center 987 Haley Talbert Dr, Corona, CA 92881-8402 2020-09-18
1922625847 Gardner Family Health Network Clinic/Center 1621 Gold St, Alviso, CA 95002-3530 2020-06-26
1194340794 Greenville Rancheria Clinic/Center 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 2020-06-10
1841829876 Pacific Central Coast Health Centers Clinic/Center 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 2020-04-02
1740812866 Tauna Mcginnis Clinic/Center 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 2020-02-06
1275173403 United Advocates for Children and Families Clinic/Center 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 2020-01-15
1083251532 Prime Wellness Community Health Center Clinic/Center 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 2019-12-03
1841836301 Beverlycare Clinic/Center 101 E Beverly Blvd Ste 301, Montebello, CA 90640-4316 2019-11-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City GREENBRAE
Zip Code 94904

Improve Information

Please comment or provide details below to improve the information on MARIN COMMUNITY CLINIC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches