Humboldt Del Norte Independent Practice Association

NPI 1457565152 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1457565152
Enumeration Date 05/10/2007
Last Updated 08/29/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARTIN MARTIN
Position CEO
Phone (707) 443-4563
Fax (707) 443-2527
Practice Location
2662 HARRIS ST
EUREKA CA, 95503-4856, US
Phone (707) 443-4563
Fax (707) 443-2527
Business Location
2662 HARRIS ST
EUREKA CA, 95503-4856, US
Phone (707) 443-4563
Fax (707) 443-2527
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Humboldt Del Norte Independent Practice Association NPI is 1457565152, taxonomy code is 302R00000X Humboldt Del Norte Independent Practice Association physically located at 2662 Harris St, Eureka CA, 95503-4856. NPI Number 1033115704 has the healthcare provider type.

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1457565152 NPI number is provided on an as is basis without warranty of any kind. 1457565152 is maintained by the National Plan & Provider Enumeration System. The contents of Humboldt Del Norte Independent Practice Association are for informational purposes only.