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NPI Code Detail

MEDICARE: COUNTY OF HUMBOLDT

MEDICARE: COUNTY OF HUMBOLDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2273R00000XPsychiatric Hospital Unit1 01 6003CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194763219
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF HUMBOLDT
Provider Business Mailing Address
First Line : 720 WOOD ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4413
Country : US
Telephone Number : 707-268-2900
Fax Number :
Provider Business Practice Location Address
First Line : 720 WOOD ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-4413
Country : US
Telephone Number : 707-268-2900
Fax Number :
Authorized Official
Title or Position : BEHAVIORAL HEALTH DIRECTOR
Name : EMI BOTZLER-RODGERS
Credential : LMFT
Telephone Number : 707-268-2990
Provider Enumeration Date : 06/02/2006
Last Update Date : 09/26/2025

Similar Medicare Providers

1407461965 — KATHLEEN MARIA JONES
Practice Location Address:
720 WOOD ST
EUREKA, CA
95501-4413
Practice Phone: 707-268-2990
Practice Fax:
1811840697 — IREDIA KENNETH ODIGIE
Practice Location Address:
720 WOOD ST
EUREKA, CA
95501-4413
Practice Phone: 707-268-2990
Practice Fax:
1871443424 — MIESHA LAVETTE SMITH MARSHALL LVN
Practice Location Address:
720 WOOD ST
EUREKA, CA
95501-4413
Practice Phone: 707-268-2990
Practice Fax:
1780646521 — JANESE CHARPENTIER F.N.P./ P.A
Practice Location Address:
720 WOOD ST
EUREKA, CA
95501-4413
Practice Phone: 707-268-2990
Practice Fax:
1407873268 — MARIAN PENCE VASILEVICH MA, LMFT
Practice Location Address:
720 WOOD ST
EUREKA, CA
95501-4413
Practice Phone: 707-268-3375
Practice Fax:
1417971946 — STEVE ROTH PH.D.
Practice Location Address:
720 WOOD ST
EUREKA, CA
95501-4413
Practice Phone: 707-268-2990
Practice Fax: 707-441-5667

Directions to “COUNTY OF HUMBOLDT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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