Kidney Care Services Of Humboldt
Nephrology
1651 Myrtle Ave Ste C, Eureka
California, 95501-1495
707-599-6700 888-475-8698
Kidney Care Services Of Humboldt is a Nephrology in Eureka, California. It is located at 1651 Myrtle Ave Ste C, Eureka and it's customer support contact number is 707-599-6700. The authorized person of Kidney Care Services Of Humboldt is James Lee Wynn Jr. who is Admin Aide of the pharmacy and his contact number is 707-362-8769. Active license number of Kidney Care Services Of Humboldt is 23313 for Nephrology in California. Kidney Care Services Of Humboldt accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kidney Care Services Of Humboldt is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Pharmacy Details:
Kidney Care Services Of Humboldt type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kidney Care Services Of Humboldt |
| Type: | Nephrology |
| Location: | 1651 Myrtle Ave Ste C, Eureka,
California, 95501-1495 |
| Phone: | 707-599-6700 |
| Fax: | 888-475-8698 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | James Lee Wynn Jr. |
| Position: | Admin Aide |
| Contact Number: | 707-362-8769 |
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 pharmacy are as mentioned below.
| NPI Number: | 1457734741 |
| NPI Enumeration Date: | 04 Jul, 2015 |
| NPI Last Update On: | 30 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kidney Care Services Of Humboldt are as mentioned below.
| Specialization | License Number | State | Status | |
| Nephrology | 23313 | California | Primary | |
| Health Service | | | Secondary | |
| Primary Care | | | Secondary | |
| Non-pharmacy Dispensing Site | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| RN846580 | Medicaid | California | |
Medicare Enrollment:
Kidney Care Services Of Humboldt 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 |
| 2668772575 | O20151125001564 | Kidney Care Services Of Humboldt | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1651 Myrtle Ave Ste C,
Eureka, California |
| Zip: | 95501-1495 |
| Phone Number: | 707-599-6700 |
| Fax Number: | 888-475-8698 |
Patients can reach Kidney Care Services Of Humboldt at
1651 Myrtle Ave Ste C, Eureka, California or can
call on customer care at 707-599-6700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.