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CH09538A MARIN COMMUNITY CLINIC (Active)
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Main Details
Name
MARIN COMMUNITY CLINIC
Subdivision Name
NOVATO
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008138
340B ID
CH09538A
Grant Number
H80CS00343
Additional Details
Current Program Status
Active
Registration Date
4/1/2002
Participating Start Date
4/1/2002
Participating Approval Date
12/31/2003
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
6100 REDWOOD BLVD
NOVATO, CA 94945
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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10/28/11 - Changed AO title from interim executive director. 4/10/09-ADDR CHANGE(WAS 400 PROFESSIONAL CENTER DR SUITE 424) ID CORRECTION - REPLACES CH095380
10/28/2011
4/10/09-ADDR CHANGE(WAS 400 PROFESSIONAL CENTER DR SUITE 424) ID CORRECTION - REPLACES CH095380
04/10/2009
April 2025
April 2025
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