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Contact Information

PETALUMA HEALTH CENTER, INC.
1179 NORTH MCDOWELL BLVD.
PETALUMA, CA94954
 Phone: 707-559-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PETALUMA HEALTH CENTER, INC.

NPI Number 1871386383
LBN Legal business name PETALUMA HEALTH CENTER, INC.
Authorized official MOLLY JOUANEH - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2025
Last updated 05/27/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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