Jerold Phelps Community Hospital

LBN: Southern Humboldt Community Healthcare District
Jerold Phelps Community Hospital is an health care organization with primary practice located at 733 Cedar St , Garberville CA 95542-3201. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Southern Humboldt Community Healthcare District can be contacted via phone (707) 923-3921, or through Scown, Kent via phone (707) 923-3921.

Contact Information

Primary practice address
733 Cedar St Garberville CA 95542-3201
Fax: (707) 923-1456
Website:
Authorized official contact:
Name: Scown, Kent

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 110000052 California

Profile Details

NPI number 1508192220
LBN Legal business name Southern Humboldt Community Healthcare District
DBA Doing business as Jerold Phelps Community Hospital
Authorized official Scown, Kent
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2009
Last updated Feb 1st, 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 1508192220 NPPES
Washington MEDICAID 3003993
Washington Other LTC30482G
Washington MEDICAID 174988
Washington MEDICAID 272260

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