# HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION

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

## Provider details

- **NPI number:** 1457565152
- **Authorized official:** LISA GREEN (HUB ANALYST)
- **Authorized official phone:** (707) 443-4563

## Contact information

- **Practice address:** 2316 HARRISON AVE, EUREKA, CA 95501-3217
- **Practice address phone:** (707) 442-0478
- **Practice address fax:** (707) 443-2527
- **Mailing address:** 2315 DEAN ST, EUREKA, CA 95501-3208
- **Mailing address phone:** (707) 443-4563
- **Mailing address fax:** (707) 443-2527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 04/12/2026