Petaluma Health Center INC
NPI #1760584049 in Bolinas, California
Provider Information
- NPI Number
- 1760584049
- Entity Type
- Organization
- Organization Name
- Petaluma Health Center INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Jun 8, 2021
Practice Location
- Address
- 88 MESA RD
- City
- Bolinas
- State
- California
- ZIP Code
- 94924-9713
- Phone
- (415) 868-0124
Authorized Official
- Name
- MOLLY JOUANEH
- Title
- CFO
- Phone
- (707) 559-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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