REDWOOD TEEN CHALLENGE
NPI 1073368502
Lodging in Eureka, CA

Active since April 18, 2024
2844 FAIRFIELD ST, EUREKA, CA 95501(707) 268-8727 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Redwood Teen Challenge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REDWOOD TEEN CHALLENGE (NPI 1073368502) is a healthcare organization registered as a lodging in Eureka, California and active in the NPI registry since April 2024. The organization maintains a secondary practice location in Eureka and lists Marlene L Sin, Finance Administrator, as its authorized official.

NPPES Registry Identity

NPI1073368502
Entity TypeOrganization
Primary Taxonomy177F00000X
Legal Business NameREDWOOD TEEN CHALLENGE
Location Address2844 FAIRFIELD STEureka, CA 95501-3525
Mailing Address1435 7th StEureka, CA 95501-0615 · (707) 268-8727
Organization SubpartNo
Authorized OfficialMarlene L SinFinance Administrator · (707) 268-8727
Enumeration DateApril 18, 2024
NPPES CertifiedApril 18, 2024
NPI 1073368502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Also ListedMealsTaxonomy 174200000X
Also ListedCase ManagementTaxonomy 251B00000X
2844 FAIRFIELD ST, Eureka, CA 95501

Secondary Practice Location 1

Location 12000 Myrtle AveEureka, CA 95501-3322 · Phone (707) 268-8727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Redwood Teen Challenge's NPI number?

The NPI number for Redwood Teen Challenge is 1073368502. It was assigned to this organization in the NPPES registry on April 18, 2024.

Where is Redwood Teen Challenge located?

Redwood Teen Challenge is located at 2844 Fairfield St, Eureka, CA 95501. The listed phone number is (707) 268-8727.

What is Redwood Teen Challenge's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for Redwood Teen Challenge was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.