NPIMap

Organization Active NPI

Humboldt State University

  • Student Health Clinic/Center
  • Arcata, CA
National Provider Identifier
1659793602
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
462056 Issued in CA
Legal business name
HUMBOLDT STATE UNIVERSITY
Practice address
1 Harpst St
Arcata, CA 95521-8222
Phone
(707) 826-3146
Fax
(707) 826-5042
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Dr. Alan Morden, MDNPI 1306809645
Title
Medical Director
Phone
(707) 826-3146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 462056 CA Primary

Addresses

Primary practice location

1 Harpst St
Arcata, CA 95521-8222

Mailing address

1 Harpst St
Arcata, CA 95521-8222
Phone (707) 826-3146

Other identifiers 1

IdentifierTypeStateIssuer
1104991744OtherCANPI

National Provider Directory

National Provider Directory
Tax ID family
State of California Prison Industry Authority30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1659793602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARPST ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955218222",
            "telephone_number": "707-826-3146",
            "fax_number": "707-826-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARPST ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955218222",
            "telephone_number": "707-826-3146",
            "fax_number": "707-826-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "MORDEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "707-826-3146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "462056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104991744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.