Organization Active NPI

Humboldt Bay Surgery Co-Operative

  • Ambulatory Surgical Clinic/Center
  • Eureka, CA
National Provider Identifier
1073773602
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HUMBOLDT BAY SURGERY CO-OPERATIVE
Practice address
2324 23Rd St
Eureka, CA 95501-3231
Phone
(707) 444-1410
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Ms. Carolyn M Janssen, RN
Title
Director
Phone
(707) 444-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2324 23Rd St
Eureka, CA 95501-3231

Mailing address

2324 23Rd St
Eureka, CA 95501-3231
Phone (707) 444-1410

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1073773602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 23RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013231",
            "telephone_number": "707-444-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 23RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013231",
            "telephone_number": "707-444-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT BAY SURGERY CO-OPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-444-1410",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 9, 2008; 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.