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Healthcare Organization Stored source record

MARIN CITY HEALTH AND WELLNESS CENTER

630 DRAKE AVE, SAUSALITO, CA, 949651107

atlas:atm_npi_1285804948

Block 1002Block Group 1Census Tract 1290Marin CountyCaliforniaUnited States

What is stored

phone
415-339-8813
status
A
address
630 DRAKE AVE, SAUSALITO, CA, 949651107
fax
415-339-8814
npi
1285804948
taxonomy
Clinic/Center, Federally Qualified Health Center (FQHC)
other names
["MARIN CITY HEALTH AND WELLNESS CENTER","PERINATAL AND WOMEN'S HEALTH SUITE"]
last updated
2021-10-15
taxonomy code
261QF0400X
all taxonomies
["Community/Behavioral Health","Clinic/Center, Federally Qualified Health Center (FQHC)"]
enumeration date
2008-03-08
enumeration type
NPI-2
practice locations
2
authorized official
ADAM FRANCIS
organizational subpart
NO

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{
  "fax": "415-339-8814",
  "npi": "1285804948",
  "phone": "415-339-8813",
  "status": "A",
  "address": "630 DRAKE AVE, SAUSALITO, CA, 949651107",
  "license": null,
  "taxonomy": "Clinic/Center, Federally Qualified Health Center (FQHC)",
  "other_names": [
    "MARIN CITY HEALTH AND WELLNESS CENTER",
    "PERINATAL AND WOMEN'S HEALTH SUITE"
  ],
  "last_updated": "2021-10-15",
  "license_state": null,
  "taxonomy_code": "261QF0400X",
  "all_taxonomies": [
    "Community/Behavioral Health",
    "Clinic/Center, Federally Qualified Health Center (FQHC)"
  ],
  "enumeration_date": "2008-03-08",
  "enumeration_type": "NPI-2",
  "practice_locations": 2,
  "authorized_official": "ADAM FRANCIS",
  "organizational_subpart": "NO"
}