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ST. JOSEPH HEALTH NORTHERN CALIFORNIA LLC NPI 1568422319


NPI Information

NPI: 1568422319
Provider Name: ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Doing Business As: PROVIDENCE HUMBOLDT HOME INFUSION

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
2612 HARRISON AVE
EUREKA, CA
ZIP 95501
Phone: (707) 269-4258
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ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC is a home infusion therapy pharmacy pharmacy in Eureka, CA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC NPI is 1568422319. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Humboldt Home Infusion.

The provider's business location address is:

2612 HARRISON AVE
EUREKA, CA
ZIP 95501
Phone: (707) 269-4258
Fax: (707) 269-3755

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 5/23/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336H0001XPharmacyHome Infusion Therapy PharmacyPHY45619CALIFORNIAYes

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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