| Humboldt Family Medical Care | |
|
1733 Central Ave Mckinleyville CA 95519-3601 | |
| (707) 839-4852 | |
| (707) 839-2439 |
| Full Name | Humboldt Family Medical Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1733 Central Ave, Mckinleyville, California |
| Authorized Official Name and Position | Douglas Allen Shaw (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7078227220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humboldt Family Medical Care P.o. Box 4957 Arcata CA 95518-4957 Ph: (707) 822-7220 | Humboldt Family Medical Care 1733 Central Ave Mckinleyville CA 95519-3601 Ph: (707) 839-4852 |
| NPI Number | 1447287347 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 09/20/2019 |
| Medicare PECOS PAC ID | 9032262100 |
|---|---|
| Medicare Enrollment ID | O20090806000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447287347 | NPI | - | NPPES |
| 05-8505 | Other | CA | BLUE CROSS PROVIDER # |
| ZZZ67827Z | Other | CA | BLUE SHEIRLD PROVIDER # |
| RHM53803G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
U.s. Coast Guard Group/air Station Humboldt Bay Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lycoming Ave, Mckinleyville, CA 95519 Phone: 707-839-6176 | |
Mckinleyville Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827 | |
Redwood Community Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1567 City Center Rd, Mckinleyville, CA 95519 Phone: 707-633-4884 |