Eureka Allergy Clinic

LBN: Northcoast Family Practice Medical Group Inc
Eureka Allergy Clinic is an health care organization with primary practice located at 2505 Lucas St , Eureka CA 95501-3340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Northcoast Family Practice Medical Group Inc can be contacted via phone (707) 445-3063, or through Tait, Anne E via phone (707) 445-3063.

Contact Information

Primary practice address
2505 Lucas St Eureka CA 95501-3340
Phone: (707) 445-3063
Fax: (707) 442-6602
Website:
Map and Directions
Authorized official contact:
Name: Tait, Anne E Doctor of Medicine (MD)
Phone: (707) 445-3063

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G62640 California

Profile Details

NPI number 1730284696
LBN Legal business name Northcoast Family Practice Medical Group Inc
DBA Doing business as Eureka Allergy Clinic
Authorized official Tait, Anne E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1730284696 NPPES
California MEDICAID 00G626400

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