Active NPI
Marin General Hospital
- General Acute Care Hospital
- San Rafael, CA
National Provider Identifier
1649305459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 91018234
- Legal business name
- MARIN GENERAL HOSPITAL
- Practice address
- 4000 Civic Center Dr
160
San Rafael, CA 94903-4171 - Phone
- (415) 492-4790
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. David Bradley
- Title
- Ceo
- Phone
- (415) 925-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 91018234 | CA | Primary |
Addresses
Primary practice location
4000 Civic Center Dr
160
San Rafael, CA 94903-4171
Mailing address
639 Larkspur Plaza Dr
Larkspur, CA 94939-1451
National Provider Directory
National Provider Directory- Tax ID family
- Marin General Hospital
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- Clinic/Center
- Greenbrae, CA
- NPI 1851934020
-
- Psychiatric Hospital Unit
- Greenbrae, CA
- NPI 1942267869
Locations
4000 Civic Center Dr
#160
San Rafael, CA 94903
Phone (415) 492-4790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649305459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 LARKSPUR PLAZA DR",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CIVIC CENTER DR",
"address_2": "160",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949034171",
"telephone_number": "415-492-4790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIN GENERAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-925-7100",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "91018234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.