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Healthcare Organization Stored source record

MARIN COMMUNITY CLINIC

6100 REDWOOD BLVD, NOVATO, CA, 949454505

atlas:atm_npi_1003900101

Block 2005Block Group 2Census Tract 1041.02Marin CountyCaliforniaUnited States

What is stored

phone
415-448-1500
status
A
address
6100 REDWOOD BLVD, NOVATO, CA, 949454505
fax
415-798-3198
npi
1003900101
license
110000491
taxonomy
Clinic/Center, Federally Qualified Health Center (FQHC)
other names
[]
last updated
2025-06-27
license state
CA
taxonomy code
261QF0400X
all taxonomies
["Clinic/Center, Federally Qualified Health Center (FQHC)"]
enumeration date
2006-10-03
enumeration type
NPI-2
practice locations
0
authorized official
BRENDA SHIPP
organizational subpart
NO

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{
  "fax": "415-798-3198",
  "npi": "1003900101",
  "phone": "415-448-1500",
  "status": "A",
  "address": "6100 REDWOOD BLVD, NOVATO, CA, 949454505",
  "license": "110000491",
  "taxonomy": "Clinic/Center, Federally Qualified Health Center (FQHC)",
  "other_names": [],
  "last_updated": "2025-06-27",
  "license_state": "CA",
  "taxonomy_code": "261QF0400X",
  "all_taxonomies": [
    "Clinic/Center, Federally Qualified Health Center (FQHC)"
  ],
  "enumeration_date": "2006-10-03",
  "enumeration_type": "NPI-2",
  "practice_locations": 0,
  "authorized_official": "BRENDA SHIPP",
  "organizational_subpart": "NO"
}