Organization
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Active
Parent organization
ST. JOSEPH HEALTH SYSTEM
Other names
Providence Humboldt Home Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOSEPH HEALTH SYSTEM
Authorized official
DONALD WAYNE ANDERSON (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
2612 HARRISON AVE, EUREKA, CA 95501
(707) 269-4258
(707) 269-3755
Mailing address
PO BOX 31001-3059, PASADENA, CA 91110-3059
(707) 269-4258
(707) 269-3755
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY45619
CA
Other
Enumeration date
03/24/2006
Last updated
05/08/2025
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