Mendocino Coast District Hospital

LBN: Adventist Health Mendocino Coast
Mendocino Coast District Hospital is an health care organization with primary practice located at 700 River Dr , Fort Bragg CA 95437-5403. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Adventist Health Mendocino Coast can be contacted via phone (707) 961-1234, or through Howe, Judson via phone (707) 456-3010.

Contact Information

Primary practice address
700 River Dr Fort Bragg CA 95437-5403
Phone: (707) 961-1234
Fax: (707) 961-4901
Website:
Map and Directions
Authorized official contact:
Name: Howe, Judson
Phone: (707) 456-3010

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 110000040 California

Profile Details

NPI number 1538113725
LBN Legal business name Adventist Health Mendocino Coast
DBA Doing business as Mendocino Coast District Hospital
Authorized official Howe, Judson
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Apr 13th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538113725 NPPES
California Other ZZZ39861Z BLUE SHIELD
California Other LTC30569F BLUE SHIELD
California MEDICAID ZZR00569F BLUE SHIELD
California Other ZZZ36026Z BLUE SHIELD
California Other ZZZ96931Z BLUE SHIELD
California Other 952627981 BLUE SHIELD
California Other PHB160620 BLUE SHIELD
California Other MTE00312F BLUE SHIELD
California Other ZZZ57360Z BLUE SHIELD
California Other PHB160620 BLUE SHIELD
California Other HSP40569F BLUE SHIELD
California Other ZZZ14750Z BLUE SHIELD
California Other 050569 BLUE SHIELD
California Other ZZZA2301Z BLUE SHIELD

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