| Humboldt County Behavioral Health - Sempervirens | |
|
720 Wood St Eureka CA 95501-4413 | |
| (707) 268-2900 | |
| Not Available |
| Full Name | Humboldt County Behavioral Health - Sempervirens |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 720 Wood St, Eureka, California |
| Authorized Official Name and Position | Emi Botzler-rogers (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7072682990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humboldt County Behavioral Health - Sempervirens 720 Wood St Eureka CA 95501-4413 Ph: (707) 268-2900 | Humboldt County Behavioral Health - Sempervirens 720 Wood St Eureka CA 95501-4413 Ph: (707) 268-2900 |
| NPI Number | 1194763219 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 09/03/2021 |
| Certification Date | 09/03/2021 |
| Medicare PECOS PAC ID | 4082516950 |
|---|---|
| Medicare Enrollment ID | O20090212000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194763219 | NPI | - | NPPES |
| 000001229 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 273R00000X | Psychiatric Unit | 1 01 6003 (California) | Primary |
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