Arcata Communitylife Medical Center
Organization Active NPI Family Medicine Physician · Arcata, CA
NPI 1982980199 · NPPES record last updated Nov 1, 2011
Key facts
- NPI
- 1982980199
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G71860 (CA)
- Legal business name
- ARCATA COMMUNITYLIFE MEDICAL CENTER
- Practice address
- 1318 H St
Arcata, CA 95521-5837 - Phone
- (707) 822-3621
- Fax
- (707) 826-8258
- NPI assigned
- Nov 1, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Marcelle Mahan, M.D.
- Title
- Physician Administrator
- Phone
- (707) 822-3621
Member of 1
National Provider Directory
Locations
1318 H St
Arcata, CA 95521
Phone (707) 822-3621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | G71860 | CA | Yes |
Addresses
Primary practice location
1318 H St
Arcata, CA 95521-5837
Mailing address
1318 H St
Arcata, CA 95521-5837
Phone (707) 822-3621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CA |
Other providers in Arcata, CA
- American Hospital Management Corporation
- Ann Lindsay MD and Alan Glaseroff MD
- Giancarlo Anro
- Appy Professional Optometric Corporation
- Marcus Henri Appy
- Arcata House Partnership
- Arcata School District
- Arcata-Mad River Ambulance
- Arcata-Mad River Ambulance LLC
- Dawn Arroyo
All providers in Arcata, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.