Redwood Family Practice
LBN: Lawrence J Wieland Md
Redwood Family Practice is an health care organization with primary practice located at 2350 Buhne St Ste A , Eureka CA 95501-3205. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lawrence J Wieland Md can be contacted via phone (707) 443-4593, or through Wieland, Lawrence J via phone (707) 443-4593.
Contact Information
Primary practice address
2350 Buhne St Ste A
Eureka CA 95501-3205
Phone: (707) 443-4593
Fax:
Website:
Authorized official contact:
Name: Wieland, Lawrence J Doctor of Medicine (MD)
Phone: (707) 443-4593
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1689780090 |
|---|---|
| LBN Legal business name | Lawrence J Wieland Md |
| DBA Doing business as | Redwood Family Practice |
| Authorized official | Wieland, Lawrence J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Oct 13th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689780090 | NPPES |
| California | MEDICAID | GR0077160 | |
| California | MEDICAID | RHM03916F |
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