MARY ISAAK CENTER CLINIC
NPI 1588422604
Clinic/Center - Federally Qualified Health Center (FQHC) in Petaluma, CA
About Mary Isaak Center Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ISAAK CENTER CLINIC (NPI 1588422604) is a healthcare organization registered as a federally qualified health center (fqhc) in Petaluma, California and active in the NPI registry since March 2024. The organization lists Molly Jouaneh, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PETALUMA, CA 94952
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Petaluma Health Center, Inc's NPI number?
The NPI number for Petaluma Health Center, Inc is 1588422604. It was assigned to this organization in the NPPES registry on March 12, 2024. The provider is doing business as Mary Isaak Center Clinic and Mary Isaak Homeless Shelter Clinic.
Where is Petaluma Health Center, Inc located?
Petaluma Health Center, Inc is located at 900 Hopper St, Petaluma, CA 94952. The listed phone number is (707) 559-7500.
What is Petaluma Health Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
When was this NPI record last updated?
The NPPES record for Petaluma Health Center, Inc was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Isaak Center Clinic · NPI 1588422604
Federally Qualified Health Center (FQHC) organization in Petaluma, California. Organization record, active in the CMS NPPES registry since March 12, 2024.
## Identity
- **NPI:** 1588422604 (Entity type: Organization)
- **Enumerated:** March 12, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Petaluma Health Center, Inc
- **Also known as:** Mary Isaak Homeless Shelter Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Molly Jouaneh, CFO
## Practice location
- **Address:** 900 HOPPER ST, Petaluma, CA 94952-3388
- **Phone:** (707) 559-7500
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1588422604) · Data from the CMS NPPES public registry.