Kidney Care Services Of Humboldt
Internal Medicine, Nephrology in Eureka, CA. Organization (NPI-2).
NPI number1457734741
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1457734741
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidney Care Services Of Humboldt
- Organization subpart
- No
- Enumeration date
- Jul 4, 2015
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 23313 | CA | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
1651 Myrtle Ave Ste CEureka, CA 95501-1495
Phone 707-599-6700 · Fax 888-475-8698
Mailing address
1651 Myrtle Ave Ste CEureka, CA 95501-1495
Phone 707-599-6700 · Fax 888-475-8698
Other practice locations
2765 Timber Ridge Ln
Eureka, CA 95503-4885
Eureka, CA 95503-4885
Phone 707-445-2033 · Fax 707-445-8026
1550 Heartwood Dr
McKinleyville, CA 95519-3984
McKinleyville, CA 95519-3984
Phone 707-839-4465 · Fax 707-839-4734
Authorized official
James Lee Wynn
Admin Aide
7075996700
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