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HUMBOLDT FAMILY MEDICAL CARE NPI 1447287347


NPI Information

NPI: 1447287347
Provider Name: HUMBOLDT FAMILY MEDICAL CARE
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1733 CENTRAL AVE
MCKINLEYVILLE, CA
ZIP 95519
Phone: (707) 839-4852
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HUMBOLDT FAMILY MEDICAL CARE is a rural health clinic center in Mckinleyville, CA. HUMBOLDT FAMILY MEDICAL CARE NPI is 1447287347. The provider is registered as an organization entity type.

The provider's business location address is:

1733 CENTRAL AVE
MCKINLEYVILLE, CA
ZIP 95519-601
Phone: (707) 839-4852
Fax: (707) 839-2439

The provider's authorized official is Douglas Allen Shaw .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 822-7220.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 9/20/2019.


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
1261QR1300XClinic/CenterRural HealthYes

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
1RHM53803GMEDICAIDCALIFORNIA
2ZZZ67827ZOTHERCALIFORNIABLUE SHEIRLD PROVIDER #
305-8505OTHERCALIFORNIABLUE CROSS PROVIDER #

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.