NPIMap

Organization Active NPI

Redwood Recovery Center

  • Recovery Care Clinic/Center
  • Eureka, CA
National Provider Identifier
1003539776
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
REDWOOD RECOVERY CENTER
Practice address
4 7TH St Unit B
Eureka, CA 95501-0226
Phone
(707) 601-2969
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kerry Durkee, CADCIINPI 1417670183
Title
Cadcii
Phone
(707) 601-2969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

4 7TH St Unit B
Eureka, CA 95501-0226

Mailing address

4 7TH St Unit B
Eureka, CA 95501-0226
Phone (707) 601-2969

Other names 2

  • Redwood Recovery Center Doing business as
  • Redwood Recovery Center llc Doing business as

National Provider Directory

National Provider Directory

Locations

23 5th St
#9
Eureka, CA 95501

4 7th St
#B
Eureka, CA 95501
Phone (707) 442-9381

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1003539776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 7TH ST UNIT B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010226",
            "telephone_number": "707-601-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 7TH ST UNIT B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010226",
            "telephone_number": "707-601-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "DURKEE",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "CADCII",
        "authorized_official_telephone_number": "707-601-2969",
        "authorized_official_credential": "CADCII"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redwood Recovery Center llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.