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CH09538L MARIN COMMUNITY CLINIC (Active)
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Main Details
Name
MARIN COMMUNITY CLINIC
Subdivision Name
Marin Community Clinic - Downtown San Rafael
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038521
340B ID
CH09538L
Grant Number
H80CS00343
Additional Details
Current Program Status
Active
Registration Date
10/1/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/4/2024
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Marin Community Clinics
Kathryn E Powell, Interim Chief Executive Officer
(415) 448-1500
Primary Contact
Marin Community Clinic
Sheri Dunham, Compliance Coordinator
(415) 376-3255
Addresses
Street Address
999 Third Street STE A
San Rafael, CA 94901
Billing Address
Marin Community Clinics
9 Commercial Blvd, Ste 100
Novato, CA 94949
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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