MARIN FAMILY RECOVERY – NPI #1689101107
Clinic/Center

MARIN FAMILY RECOVERY is an AHC clinic located in SAN RAFAEL, CA. NPPES has assigned the NPI number 1689101107 to MARIN FAMILY RECOVERY on May 15, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 8 years ago on Mar 17, 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 FAMILY RECOVERY below.

NPI Profile for
MARIN FAMILY RECOVERY

NPI Number
1689101107
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 FAMILY RECOVERY
Primary location
1209 THIRD ST. STE 4
SAN RAFAEL, CA 94901
Phone: (415) 450-1149 Fax: (415) 727-1010
1 Other location(s):
1206 3rd St Ste 6
San Rafael, CA 94901-3048
Phone: (415) 741-5483
Fax: (415) 727-1010
Mailing address
PO BOX 151306
SAN RAFAEL, CA 94915-1306
Phone: (415) 741-5483 Fax: (415) 727-1010
Organization Subpart
No
Authorized Official
GINNY BAHR
OWNER
Phone: (415) 741-5483
Updated
Identifiers

Identifiers for MARIN FAMILY RECOVERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM1568917995
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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)		 CA 2256

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.