| Second Mobile Unit | |
|
3696 Jacobs Ave Eureka CA 95501-0911 | |
| (707) 443-4666 | |
| Not Available |
| Full Name | Second Mobile Unit |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3696 Jacobs Ave, Eureka, California |
| Authorized Official Name and Position | Victor Starr (PRESIDENT AND EXECUTIVE OFFICER) |
| Authorized Official Contact | 7078268633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Mobile Unit 1275 8th St Arcata CA 95521-5770 Ph: (707) 826-8633 | Second Mobile Unit 3696 Jacobs Ave Eureka CA 95501-0911 Ph: (707) 443-4666 |
| NPI Number | 1770229882 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770229882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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