| Dba Downtown Express Medical Group | |
|
2505 Lucas St Eureka CA 95501-3340 | |
| (707) 443-2293 | |
| (707) 443-1338 |
| Full Name | Dba Downtown Express Medical Group |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2505 Lucas St, Eureka, California |
| Authorized Official Name and Position | Julie Maashoff (INTERIM CLINIC MANAGER) |
| Authorized Official Contact | 7074432293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Downtown Express Medical Group 2505 Lucas St Eureka CA 95501-3340 Ph: (707) 443-2293 | Dba Downtown Express Medical Group 2505 Lucas St Eureka CA 95501-3340 Ph: (707) 443-2293 |
| NPI Number | 1548345416 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548345416 | NPI | - | NPPES |
| RHM53963 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | RHM53963F (California) | Primary |
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