Organization
HUMBOLDT STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN MORDEN MD (MEDICAL DIRECTOR)
(707) 826-3146
Entity
Organization
Contact information
Practice address
1 HARPST ST, ARCATA, CA 95521-8222
(707) 826-3146
(707) 826-5042
Mailing address
1 HARPST ST, ARCATA, CA 95521-8222
(707) 826-3146
(707) 826-5042
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
462056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104991744
NPI
CA
Enumeration date
01/10/2014
Last updated
01/10/2014
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