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EUREKA INTERNAL MEDICINE NPI 1093810814


NPI Information

NPI: 1093810814
Provider Name: EUREKA INTERNAL MEDICINE
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2280 HARRISON AVE
SUITE B
EUREKA, CA
ZIP 95501
Phone: (707) 449-9371
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EUREKA INTERNAL MEDICINE is an internal medicine in Eureka, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EUREKA INTERNAL MEDICINE NPI is 1093810814. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2280 HARRISON AVE
SUITE B
EUREKA, CA
ZIP 95501-200
Phone: (707) 449-9371
Fax: (707) 443-2620

The provider's authorized official is Shana Cowgill .
The authorized official title is It Administrator and has the following contact phone number (707) 443-6539.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 5/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyNo
2207RH0003XInternal MedicineHematology & OncologyNo
3207RI0200XInternal MedicineInfectious DiseaseNo
4207RR0500XInternal MedicineRheumatologyNo
5207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1YYY48777YMEDICAIDCALIFORNIA
2YYY48777YMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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