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CHC22689-04 MARIN CITY HEALTH AND WELLNESS CENTER (Active)
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Main Details
Name
MARIN CITY HEALTH AND WELLNESS CENTER
Subdivision Name
Marin City Health and Wellness Dental Van
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018085
340B ID
CHC22689-04
Grant Number
H80CS22689
Additional Details
Current Program Status
Active
Registration Date
3/7/2018
Participating Start Date
4/1/2018
Participating Approval Date
3/7/2018
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Marin City Health and Wellness Center
Kim Walker, COO
(415) 339-8813
Primary Contact
Marin City Health and Wellness Center
Hang Phung, Director of Compliance and Quality Improvement
(415) 720-1168
Addresses
Street Address
630 Drake Avenue
Marin City, CA 94965-1107
Billing Address
Marin City Health and Wellness Center
630 Drake Avenue
Marin City, CA 94965
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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