Eureka Family Practice in Eureka - Specialist
Eureka Family Practice - NPI 1114965761
Eureka Family Practice is a Specialist in Eureka, California. Eureka Family Practice practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eureka Family Practice is 1114965761. The last update date is 2011-10-24.
Eureka Family Practice's current location address is 2675 Harris St, Eureka, California. You can contact this provider via phone number 7074438335 and fax number 7074437327. The mailing address for Eureka Family Practice is 2675 Harris St, Eureka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eureka Family Practice |
|---|---|
| Address | 2675 Harris St, Eureka, California |
| Phone Number | 7074438335 |
| Fax Number | 7074437327 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Gomes Lorraine |
| Telephone Number | 7074438335 |
NPI Number Detail
| NPI Number | 1114965761 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2011-10-24 |
Provider Mailing Address Detail
| Address | 2675 Harris St |
|---|---|
| City | Eureka |
| State | California (CA) |
| Post Code | 955034806 |
| Phone Number | 7074438335 |
| Fax Number | 7074437327 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9986915 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eureka Family Practice by the Centers for Medicare & Medicaid Services?
The Eureka Family Practice has been issued the NPI (National Provider Identifier) 1114965761 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Eureka Family Practice is physically located?
The Eureka Family Practice is physically situated at the following address: 2675 Harris St, Eureka, CA, 955034806.
What is Eureka Family Practice's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eureka Family Practice is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114965761 to Eureka Family Practice?
The Eureka Family Practice received its 1114965761 assignment from the Centers for Medicare & Medicaid Services on 2006-06-04.
When was the information regarding Eureka Family Practice, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eureka Family Practice, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-24.