HUMBOLDT STATE UNIVERSITY (NPI# 1104991744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104991744 |
Entity Type | Organization |
Organization Name | HUMBOLDT STATE UNIVERSITY |
Other Organization Name | STUDENT HEALTH CENTER |
Practice Address |
1 Harpst St Building 42 Arcata CA 95521-8222 |
Practice Telephone | 7078265019 |
Practice Fax Number | 7078265042 |
Mailing Telephone | 7078265019 |
Mailing Fax Number | 7078265042 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2008-08-15 |
Authorized Official Name | MRS. MARY G. VANCOTT (ASSOCIATE DIRECTOR) |
Authorized Official Telephone | 7078265019 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Student Health Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659793602 | Humboldt State University | Clinic/Center | 1 Harpst St, Arcata, CA 95521-8222 | 2014-01-10 |
1952515801 | Humboldt State University | Clinic/Center | 1 Harpst St, Building 42, Arcata, CA 95521-8222 | 2007-05-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HUMBOLDT STATE UNIVERSITY | 1 Harpst St, Arcata, CA 95521-8222 |
Street Address |
1 HARPST ST BUILDING 42 |
City | ARCATA |
State | CA |
Zip Code | 95521-8222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619988227 | Karen Agnes Moulton | Nurse Practitioner | 1 Harpst St, Arcata, CA 95521-8222 | 2006-08-10 |
1023639788 | Janiel Vebeke Giraldo | Marriage & Family Therapist | 1 Harpst St, Arcata, CA 95521-8299 | 2020-05-04 |
1407307135 | Ruth Epperson | Student in an Organized Health Care Education/Training Program | 1 Harpst St, Arcata, CA 95521-8222 | 2016-10-18 |
1326404740 | Michele C Schneider | Specialist/Technologist | 1 Harpst St, Arcata, CA 95521-8222 | 2016-01-14 |
1649635582 | Christine E. Nix | Registered Nurse | 1 Harpst St, Arcata, CA 95521-8222 | 2015-12-18 |
1588029482 | Jennifer Valerie Brown | Registered Nurse | 1 Harpst St, Arcata, CA 95521-8222 | 2015-12-18 |
1629433792 | Aaron Matthew Sinnott | Specialist/Technologist | 1 Harpst St, Arcata, CA 95521-8222 | 2015-12-16 |
1659793602 | Humboldt State University | Clinic/Center | 1 Harpst St, Arcata, CA 95521-8222 | 2014-01-10 |
1801218870 | Kimberly Perris | Clinic/Center | 1 Harpst St, Arcata, CA 95521-8222 | 2014-01-10 |
1598946147 | Edward Peck | Counselor | 1 Harpst St, Arcata, CA 95521-8222 | 2007-11-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
Find all providers in zip 95521 |
Taxonomy Code | 261QS1000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Student Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659793602 | Humboldt State University | Clinic/Center | 1 Harpst St, Arcata, CA 95521-8222 | 2014-01-10 |
1801218870 | Kimberly Perris | Clinic/Center | 1 Harpst St, Arcata, CA 95521-8222 | 2014-01-10 |
1952515801 | Humboldt State University | Clinic/Center | 1 Harpst St, Building 42, Arcata, CA 95521-8222 | 2007-05-10 |
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1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
1386134815 | Ventura County Community College District | Clinic/Center | 4667 Telegraph Road, Ventura, CA 93003-3872 | 2018-05-10 |
1104339761 | Kern Community College District | Clinic/Center | 1801 Panorama Dr, Bakersfield, CA 93305-1219 | 2017-11-06 |
1104342393 | Yosemite Community College District | Clinic/Center | 11600 Columbia College Dr, Sonora, CA 95370-8560 | 2017-08-18 |
1750813663 | Yosemite Community College District | Clinic/Center | 435 College Ave, Modesto, CA 95350-5808 | 2017-03-30 |
1275937682 | Emmons Student Wellness Center | Clinic/Center | 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 | 2014-10-14 |
1083036495 | Nora Anderson | Clinic/Center | 1603 Merion Way, 42 G, Seal Beach, CA 90740-4984 | 2014-01-21 |
1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
1770920787 | Allan Hancock College | Clinic/Center | 800 S College Dr, Santa Maria, CA 93454-6399 | 2013-05-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.