Providence Redwood Memorial Hospital

LBN: St. Joseph Health Northern California, Llc
Providence Redwood Memorial Hospital is an health care organization with primary practice located at 3300 Renner Dr , Fortuna CA 95540. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. St. Joseph Health Northern California, Llc can be contacted via phone (707) 725-3361, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
3300 Renner Dr Fortuna CA 95540
Phone: (707) 725-3361
Fax: (707) 725-7212
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 110000173 California

Profile Details

NPI number 1043292303
LBN Legal business name St. Joseph Health Northern California, Llc
DBA Doing business as Providence Redwood Memorial Hospital
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 14th, 2005
Last updated Jun 22nd, 2021 - about 4 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 1043292303 NPPES
California MEDICAID ZZR00172F

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