MARIN COUNTY IMMUNIZATION CLINIC
NPI 1366688434
Public Health or Welfare in San Rafael, CA
- Organization
- Public Health or Welfare
About MARIN COUNTY IMMUNIZATION CLINIC
This page provides the complete NPI Profile along with additional information for Marin County Immunization Clinic, a provider established in San Rafael, California operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1366688434 assigned on December 2008. The practitioner's primary taxonomy code is 251K00000X with license number RN 270575 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Marin County Immunization Clinic. The authorized official of this NPI record is Ms. Christine D Stipp R.n.-phn (Supervising Public Health Nurse)
- NPI
- 1366688434 Verify this NPI
- Provider Legal Name
- MARIN COUNTY HEALTH AND HUMAN SERVICES
- Other Organization Name
- MARIN COUNTY IMMUNIZATION CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 899 NORTHGATE DR SUITE 100 SAN RAFAEL, CA 94903
- Location Phone
- (415) 473-6891
- Location Fax
- (415) 473-6881
- Mailing Address
- 899 NORTHGATE DR SUITE 100 SAN RAFAEL, CA 94903
- Mailing Phone
- (415) 473-6891
- Mailing Fax
- (415) 473-6881
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2008
- Last Update Date
- 12-19-2008
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Public Health or Welfare
- Taxonomy Code
- 251K00000X
- Type
- Agencies
- License No.
- RN 270575
- License State
- CA
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366688434, enumerated as an "organization" on December 19, 2008.
The provider is located at 899 NORTHGATE DR SUITE 100 SAN RAFAEL, CA 94903 and the phone number is (415) 473-6891.
Public Health or Welfare with taxonomy code 251K00000X.