HUMBOLDT STATE UNIVERSITY NPI 1104991744

NPI Information

  • NPI: 1104991744
  • Provider Name: HUMBOLDT STATE UNIVERSITY
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Other Name: STUDENT HEALTH CENTER
  • CLIA Number: 05D0063791
  • Address: 1 HARPST ST
    BUILDING 42
    ARCATA, CA
    ZIP 95521
  • Phone: (707) 826-5019

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NPI Details

HUMBOLDT STATE UNIVERSITY is a student health clinic center in Arcata, CA. HUMBOLDT STATE UNIVERSITY NPI is 1104991744. The provider is registered as an organization entity type.
The provider Other Name Is Student Health Center.

The provider's business location address is:

1 HARPST ST
BUILDING 42
ARCATA, CA
ZIP 95521-222
Phone: (707) 826-5019
Fax: (707) 826-5042

The provider's authorized official is Mary G. Vancott .
The authorized official title is Associate Director and has the following contact phone number (707) 826-5019.

The CLIA number assigned to this NPI record is 05D0063791 - school/student health service with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/15/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthCALIFORNIAYes

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: 11/21/2025

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