MARIN CITY HEALTH AND WELLNESS CENTER – NPI #1457888299
Clinic/Center

MARIN CITY HEALTH AND WELLNESS CENTER is an AHC clinic located in SAN RAFAEL, CA. NPPES has assigned the NPI number 1457888299 to MARIN CITY HEALTH AND WELLNESS CENTER on May 11, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 8 years ago on Jul 11, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIN CITY HEALTH AND WELLNESS CENTER below.

NPI Profile for
MARIN CITY HEALTH AND WELLNESS CENTER

NPI Number
1457888299
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARIN CITY HEALTH AND WELLNESS CENTER
Primary location
880 LAS GALLINAS AVE
SUITE 2
SAN RAFAEL, CA 94903
Phone: (415) 339-8813 Fax:
Mailing address
630 DRAKE AVE
SAUSALITO, CA 94965-1107
Phone: (415) 339-8813 Fax:
Organization Subpart
No
Authorized Official
JAYVON MUHAMMAD
CHIEF EXECUTIVE OFFICER
Phone: (415) 339-8813
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 CA 55000861

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.