Kidney Care Services Of Humboldt
LBN: Kidney Care Services Of Humboldt
Kidney Care Services Of Humboldt is an health care organization with primary practice located at 1651 Myrtle Ave Ste C , Eureka CA 95501-1495. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Kidney Care Services Of Humboldt can be contacted via phone (707) 599-6700, or through Wynn, James Lee via phone (707) 362-8769.
Contact Information
Primary practice address
1651 Myrtle Ave Ste C
Eureka CA 95501-1495
Phone: (707) 599-6700
Fax: (888) 475-8698
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 23313 | California |
Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
Suppliers / Non-Pharmacy Dispensing Site | 332900000X |
Profile Details
NPI number | 1457734741 |
---|---|
LBN Legal business name | Kidney Care Services Of Humboldt |
DBA Doing business as | |
Authorized official | Wynn, James Lee |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 4th, 2015 |
Last updated | Apr 30th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457734741 | NPPES |
California | MEDICAID | RN846580 |
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