NPIMap

Organization Active NPI

Humboldt County Probation Department

  • Case Management Agency
  • Eureka, CA
National Provider Identifier
1598802134
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
LCS17461 Issued in CA
Legal business name
HUMBOLDT COUNTY PROBATION DEPARTMENT
Practice address
1105 6TH St
Eureka, CA 95501-1162
Phone
(707) 445-7552
Fax
(707) 445-7548
NPI assigned
Jan 31, 2007
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
Douglas Rasines
Title
Chief
Phone
(707) 268-3308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LCS17461 CA Primary

Addresses

Primary practice location

1105 6TH St
Eureka, CA 95501-1162

Mailing address

2002 Harrison Ave
Eureka, CA 95501-3212
Phone (707) 268-3308

Other identifiers 1

IdentifierTypeStateIssuer
1267OtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • PROBATION SYSTEM OF CARE 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

1105 6th St
Eureka, CA 95501
Phone (707) 445-7552

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598802134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013212",
            "telephone_number": "707-268-3308",
            "fax_number": "707-443-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 6TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011162",
            "telephone_number": "707-445-7552",
            "fax_number": "707-445-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT COUNTY PROBATION DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASINES",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "707-268-3308"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "LCS17461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "1267",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROBATION SYSTEM OF CARE",
            "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.