DOWNTOWN MEDICAL CLINIC INC. (NPI# 1548345416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548345416 |
| Entity Type | Organization |
| Organization Name | DOWNTOWN MEDICAL CLINIC INC. |
| Other Organization Name | DBA DOWNTOWN EXPRESS MEDICAL GROUP |
| Practice Address |
2505 Lucas St Eureka CA 95501-3340 |
| Practice Telephone | 7074432293 |
| Practice Fax Number | 7074431338 |
| Mailing Telephone | 7074432293 |
| Mailing Fax Number | 7074431338 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JULIE MAASHOFF (INTERIM CLINIC MANAGER) |
| Authorized Official Telephone | 7074432293 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
RHM53963F | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53963 | 05 |
| Other Name | Type Code |
|---|---|
| DBA Downtown Express Medical Group | Doing Business As Name - Organization |
| Street Address |
2505 LUCAS ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489389 | Timothy Charles Paik-nicely | Family Medicine | 2505 Lucas St, Ste B, Eureka, CA 95501-3340 | 2005-06-29 |
| 1114476413 | With Open Arms / Reproductive Health Care Services LLC | Advanced Practice Midwife | 2505 Lucas St, Ste B, Eureka, CA 95501-3340 | 2016-09-27 |
| 1134510399 | With Opens Arms Reproductive Health Care Services | Family Medicine | 2505 Lucas St, Ste B, Eureka, CA 95501-3340 | 2015-02-10 |
| 1780944579 | Allen S Mathew Md | Internal Medicine | 2505 Lucas St, Eureka, CA 95501-3340 | 2012-05-25 |
| 1366621369 | Janis Caldwell Polos | Nurse Practitioner | 2505 Lucas St, Eureka, CA 95501-3340 | 2007-10-26 |
| 1730284696 | Northcoast Family Practice Medical Group Inc | Family Medicine | 2505 Lucas St, Eureka, CA 95501-3340 | 2006-09-14 |
| 1417053075 | Allen Sebastian Mathew | Internal Medicine | 2505 Lucas St, Eureka, CA 95501-3340 | 2006-09-14 |
| 1124000922 | John P Brimlow | Physician Assistant | 2505 Lucas St, Eureka, CA 95501-3340 | 2005-11-17 |
| 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 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1689780090 | Lawrence J Wieland Md | Clinic/Center | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2006-08-21 |
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| 1881047371 | Eureka Community & Benevolent Hospital | Clinic/Center | 200 J Ave Ste A, Eureka, SD 57437-2225 | 2016-07-20 |
| 1518252550 | Redwood Family Practice Inc | Clinic/Center | 2350 Buhne St Ste A, Eureka, CA 95501-3205 | 2011-06-17 |
| 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.