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Organization
HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION
Active
Organization
HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GREEN (HUB ANALYST)
(707) 443-4563
Entity
Organization
Contact information
Practice address
2316 HARRISON AVE, EUREKA, CA 95501-3217
(707) 442-0478
(707) 443-2527
Mailing address
2315 DEAN ST, EUREKA, CA 95501-3208
(707) 443-4563
(707) 443-2527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
05/10/2007
Last updated
04/12/2026
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