Sara Anderson

Individual provider Active NPI Case Manager/Care Coordinator · Eureka, CA

NPI 1548505936 · NPPES record last updated Dec 11, 2012

Key facts

NPI
1548505936
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2413 2ND St
Eureka, CA 95501-0811
Phone
(707) 269-9590
Fax
(707) 444-8012
NPI assigned
Dec 11, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Waterfront Recovery Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2413 2ND St
Eureka, CA 95501-0811

Mailing address

1006 Ivy LN
Fortuna, CA 95540-2807

Other providers in Eureka, CA

All providers in Eureka, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.