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
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10180
DEPT. MANAGEMENT HEALTHCA
CA
Enumeration date
05/10/2007
Last updated
04/12/2026
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