REDWOOD FAMILY PRACTICE INC (NPI# 1518252550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518252550 |
Entity Type | Organization |
Organization Name | REDWOOD FAMILY PRACTICE INC |
Practice Address |
2350 Buhne St Ste A Eureka CA 95501-3205 |
Practice Telephone | 7074434593 |
Mailing Telephone | 7074434593 |
Enumeration Date | 2011-06-17 |
Last Update Date | 2013-08-12 |
Authorized Official Name | DEBBIE K LEE (ADMINISTRATOR) |
Authorized Official Telephone | 7074434593 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Street Address |
2350 BUHNE ST STE A |
City | EUREKA |
State | CA |
Zip Code | 95501-3205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689780090 | Lawrence J Wieland Md | Clinic/Center | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2006-08-21 |
1609416528 | Elizabeth Ellen Root | Registered Nurse | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2020-01-08 |
1629635743 | Nicole Kashani | Student in an Organized Health Care Education/Training Program | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2019-05-23 |
1407412356 | Mikal Lauren Achtner | Student in an Organized Health Care Education/Training Program | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2019-05-16 |
1245896158 | Margot Lorraine Oliver | Student in an Organized Health Care Education/Training Program | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2019-05-15 |
1568026318 | Jasmine Victa | Registered Nurse | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2019-04-26 |
1033677109 | Jessica R. Gniadek | Registered Nurse | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2019-03-07 |
1326522699 | Sara Elizabeth Zimmerman | Registered Nurse | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2018-09-21 |
1699294793 | Holly R. Buhler | Registered Nurse | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2017-09-11 |
1326400557 | Courtney Stewart | Family Medicine | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2016-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
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Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689780090 | Lawrence J Wieland Md | Clinic/Center | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2006-08-21 |
1215575097 | Eureka Community & Benevolent Hospital | Clinic/Center | 200 J Ave Ste A, Eureka, SD 57437-2225 | 2019-12-12 |
1780101204 | Carle Eureka Hospital | Clinic/Center | 105 S Major St, Eureka, IL 61530-1246 | 2017-08-25 |
1881047371 | Eureka Community & Benevolent Hospital | Clinic/Center | 200 J Ave Ste A, Eureka, SD 57437-2225 | 2016-07-20 |
1548345416 | Downtown Medical Clinic Inc. | Clinic/Center | 2505 Lucas St, Eureka, CA 95501-3340 | 2006-10-26 |
1700967379 | Greenwood County Hospital | Clinic/Center | 100 W 16th St, Eureka, KS 67045-1064 | 2006-10-18 |
1215045299 | Greenwood County Hospital | Clinic/Center | 100 West 16th St., Eureka, KS 67045-1047 | 2006-08-29 |
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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.