Del Norte Healthcare District

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

DEL NORTE HEALTHCARE DISTRICT

Practice address

550 E Washington Blvd Ste 400
Crescent City, CA 95531-8161

Phone

(707) 464-9494

Fax

(707) 464-7845

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Jane Clark

Title

Administrative Assistant

Phone

(707) 951-6704

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1679115000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON BLVD STE 400",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318161",
            "telephone_number": "707-464-9494",
            "fax_number": "707-464-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON BLVD STE 400",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318161",
            "telephone_number": "707-464-9494",
            "fax_number": "707-464-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL NORTE HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "707-951-6704"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Day
• Del Norte Ambulance, Inc.
• Del Norte Association for Developmental Services
• Del Norte County Mental Health
• Del Norte County Unified School District
• Del Norte LLC
• Del Norte Medical Imaging, Inc.
• Del Norte Mission Possible
• Del Norte Senior Center
• Timothy Robert Devereaux, PSY.D

• Magnetic Resonance Imaging (MRI) Clinic/Center in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.