NPIMap

Organization Active NPI

County of Humboldt

  • Rehabilitation Clinic/Center
  • Eureka, CA
National Provider Identifier
1508927575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
COUNTY OF HUMBOLDT
Practice address
2501 Cypress Avenue
Eureka, CA 95503
Phone
(707) 445-7110
Fax
(707) 445-7140
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alexandra Wineland
Title
Public Health Branch Director
Phone
(707) 268-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X CA Primary

Addresses

Primary practice location

2501 Cypress Avenue
Eureka, CA 95503

Mailing address

317 Second Street
Eureka, CA 95501
Phone (707) 445-6212

Other identifiers 1

IdentifierTypeStateIssuer
CCS00100FMedicaidCA

Other names 1

  • Dept of Health & Human Services Public Health Branch California Childr Other name

National Provider Directory

National Provider Directory
Tax ID family
Humboldt County Mental35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

2501 Cypress Ave
Eureka, CA 95503
Phone (707) 445-7068

317 2nd St
Eureka, CA 95501
Phone (707) 476-4981

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508927575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SECOND STREET",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-445-6212",
            "fax_number": "707-441-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CYPRESS AVENUE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95503",
            "telephone_number": "707-445-7110",
            "fax_number": "707-445-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF HUMBOLDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINELAND",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PUBLIC HEALTH BRANCH DIRECTOR",
        "authorized_official_telephone_number": "707-268-2121"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00100F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept of Health & Human Services Public Health Branch California Childr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.