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CH09538C MARIN COMMUNITY CLINIC (Active)
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Main Details
Name
MARIN COMMUNITY CLINIC
Subdivision Name
SAN RAFAEL CAMPUS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010418
340B ID
CH09538C
Grant Number
H80CS00343
Additional Details
Current Program Status
Active
Registration Date
4/8/2011
Participating Start Date
7/1/2011
Participating Approval Date
5/26/2011
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
3260 KERNER BLVD.
SAN RAFAEL, CA 94901
Billing Address
MARIN COMMUNITY CLINIC
9 Commercial Blvd
SUITE 100
NOVATO, CA 94949
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/27/11 - Changed AO title from Interim Executive Director.
10/27/2011
April 2025
April 2025
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