NPIMap

Organization Active NPI

Downtown Medical Clinic Inc.

  • Rural Health Clinic/Center
  • Eureka, CA
National Provider Identifier
1548345416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
RHM53963F Issued in CA
Legal business name
DOWNTOWN MEDICAL CLINIC INC.
Practice address
2505 Lucas St
Eureka, CA 95501-3340
Phone
(707) 443-2293
Fax
(707) 443-1338
NPI assigned
Oct 26, 2006
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
Julie Maashoff
Title
Interim Clinic Manager
Phone
(707) 443-2293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X RHM53963F CA Primary

Addresses

Primary practice location

2505 Lucas St
Eureka, CA 95501-3340

Mailing address

2505 Lucas St
Eureka, CA 95501-3340
Phone (707) 443-2293

Other identifiers 1

IdentifierTypeStateIssuer
RHM53963MedicaidCA

Other names 1

  • DBA Downtown Express Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

2456 Buhne St
Eureka, CA 95501
Phone (707) 443-2293

2585 Harris St
Eureka, CA 95503
Phone (707) 445-3063

Practitioners & affiliated clinicians

Practitioners 5

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548345416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LUCAS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013340",
            "telephone_number": "707-443-2293",
            "fax_number": "707-443-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LUCAS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013340",
            "telephone_number": "707-443-2293",
            "fax_number": "707-443-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAASHOFF",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "INTERIM CLINIC MANAGER",
        "authorized_official_telephone_number": "707-443-2293"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "RHM53963F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Downtown Express Medical Group",
            "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 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.