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PROVIDENCE MEDICAL FOUNDATION NPI 1477790517


NPI Information

NPI: 1477790517
Provider Name: PROVIDENCE MEDICAL FOUNDATION

Former Legal Business Name: ST JOSEPH HERITAGE HEALTHCARE

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2752 HARRISON AVE
SUITE A
EUREKA, CA
ZIP 95501
Phone: (707) 268-0190
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PROVIDENCE MEDICAL FOUNDATION is a surgery in Eureka, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PROVIDENCE MEDICAL FOUNDATION NPI is 1477790517. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is St Joseph Heritage Healthcare.

The provider's business location address is:

2752 HARRISON AVE
SUITE A
EUREKA, CA
ZIP 95501-738
Phone: (707) 268-0190

The provider's authorized official is Jill A Duplechan .
The authorized official title is Chief Administrative Officer and has the following contact phone number (714) 347-7790.

The enumeration date for this NPI number is 1/12/2009 and was last updated on 5/5/2021.


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
1208600000XSurgeryYes

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: 4/28/2024

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