Providence Medical Foundation
Orthopaedic Surgery
2826 Harris St, Eureka
California, 95503-4809
707-443-8066 707-268-3251
Providence Medical Foundation is a Orthopaedic Surgery in Eureka, California. It is located at 2826 Harris St, Eureka and it's customer support contact number is 707-443-8066. The authorized person of Providence Medical Foundation is Donald W. Anderson Jr. who is Assistant Secretary Of Enrollments of this DME and his contact number is 425-358-9786. Providence Medical Foundation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Providence Medical Foundation is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
DME Supplier Details:
Providence Medical Foundation type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Providence Medical Foundation |
| Type: | Orthopaedic Surgery |
| Location: | 2826 Harris St, Eureka,
California, 95503-4809 |
| Phone: | 707-443-8066 |
| Fax: | 707-268-3251 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Donald W. Anderson Jr. |
| Position: | Assistant Secretary Of Enrollments |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1386937225 |
| NPI Enumeration Date: | 25 May, 2011 |
| NPI Last Update On: | 03 Dec, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Medical Foundation are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthopaedic Surgery | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6852510001 | Other | California | Nsc |
Medicare Enrollment:
Providence Medical Foundation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8921993205 | O20131004000194 | Providence Medical Foundation | DME SUPPLIER - PHYSICIAN - ORTHOPEDIC/ORTHOPEDIC SURGERY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 31001 - 1920,
Pasadena, California |
| Zip: | 91110-1920 |
| Phone Number: | -- |
Patients can reach Providence Medical Foundation at
2826 Harris St, Eureka, California or can
call on customer care at 707-443-8066.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.