PROMEDICAL FAMILY PRATICE NPI 1447524921

NPI Information

NPI: 1447524921
Provider Name: PROMEDICAL FAMILY PRATICE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
815 7TH ST
EUREKA, CA
ZIP 95501
Phone: (707) 407-0540
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PROMEDICAL FAMILY PRATICE is a health service clinic center in Eureka, CA. PROMEDICAL FAMILY PRATICE NPI is 1447524921. The provider is registered as an organization entity type.

The provider's business location address is:

815 7TH ST
EUREKA, CA
ZIP 95501-113
Phone: (707) 407-0540
Fax: (707) 268-5573

The provider's authorized official is Claude Vernon Coleman .
The authorized official title is Admenistrator and has the following contact phone number (707) 407-0540.

The enumeration date for this NPI number is 3/1/2012 and was last updated on 3/1/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	16089	CALIFORNIA	No
2	261QH0100X	Clinic/Center	Health Service	G86543	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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