Pine Grove Program

LBN: Humboldt County Mental Health
Pine Grove Program is an health care organization with primary practice located at 674 Allard Ave , Eureka CA 95503-5857. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Humboldt County Mental Health can be contacted via phone (707) 268-2900, or through Wheeler, Donna via phone (707) 268-2990.

Contact Information

Primary practice address
674 Allard Ave Eureka CA 95503-5857
Phone: (707) 268-2900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Donna Licensed Clinical Social Worker (LCSW)
Phone: (707) 268-2990

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1700904547
LBN Legal business name Humboldt County Mental Health
DBA Doing business as Pine Grove Program
Authorized official Wheeler, Donna Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700904547 NPPES
California MEDICAID 000001228

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