Provider Demographics
NPI:1992845457
Name:HUMBOLDT COUNTY OFFICE OF EDUCATION
Entity Type:Organization
Organization Name:HUMBOLDT COUNTY OFFICE OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:COBINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-445-7043
Mailing Address - Street 1:901 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-1219
Mailing Address - Country:US
Mailing Address - Phone:707-445-7043
Mailing Address - Fax:707-445-7143
Practice Address - Street 1:901 MYRTLE AVENUE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1219
Practice Address - Country:US
Practice Address - Phone:707-445-7043
Practice Address - Fax:707-445-7143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1210124Medicaid