Redwood Community Services - Fort Bragg

LBN: Redwood Community Services, Inc
Redwood Community Services - Fort Bragg is an health care organization with primary practice located at 516 Cypress Street , Fort Bragg CA 95437-5107. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Transportation Services / Private Vehicle. Agencies / Community/Behavioral Health is the primary health care specialty. Redwood Community Services, Inc can be contacted via phone (707) 961-0308, or through Kelly, Victoria Jerusha via phone (707) 467-2010.

Contact Information

Primary practice address
516 Cypress Street Fort Bragg CA 95437-5107
Phone: (707) 961-0308
Fax: (707) 961-0351
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Victoria Jerusha Licensed Clinical Social Worker (LCSW)
Phone: (707) 467-2010

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1528496619
LBN Legal business name Redwood Community Services, Inc
DBA Doing business as Redwood Community Services - Fort Bragg
Authorized official Kelly, Victoria Jerusha Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2013
Last updated Feb 14th, 2023 - about last year

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 1528496619 NPPES
California Other 23CO MENDOCINO COUNTY SITE #

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