MiscSubjects

PETALUMA HEALTH CENTER INC

PETALUMA HEALTH CENTER INC

Healthcare Organization

fax
415-868-2152
npi
1760584049
phone
415-868-0124
status
A
address
88 MESA RD, BOLINAS, CA, 949249713
license
110000397
taxonomy
Clinic/Center, Federally Qualified Health Center (FQHC)
last updated
2021-06-08
license state
CA
taxonomy code
261QF0400X
enumeration date
2006-09-05
enumeration type
NPI-2
practice locations
0
authorized official
MOLLY JOUANEH
organizational subpart
NO
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

Marin County business license 8336547 · Non Profit Organizations · holds license

COUNTY OF MARINAssessor parcel record
Parcel number
19302055
19302055

19302055 · located on

County of Marin open data — active business licenses · lists

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