# HUMBOLDT FAMILY MEDICAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447287347
- **Authorized official:** DOUGLAS ALLEN SHAW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (707) 822-7220

## Contact information

- **Practice address:** 1733 CENTRAL AVE, MCKINLEYVILLE, CA 95519-3601
- **Practice address phone:** (707) 839-4852
- **Practice address fax:** (707) 839-2439
- **Mailing address:** P.O. BOX 4957, ARCATA, CA 95518-4957
- **Mailing address phone:** (707) 822-7220
- **Mailing address fax:** (707) 826-8258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 09/20/2019