# ADVENTIST HEALTH MENDOCINO COAST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mendocino Coast District Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124220249
- **Authorized official:** PARKER PRIDGEN (PRESIDENT)
- **Authorized official phone:** (707) 456-3010

## Contact information

- **Practice address:** 721 RIVER DRIVE, SUITE A, FORT BRAGG, CA 95437
- **Practice address phone:** (707) 961-4631
- **Practice address fax:** (707) 964-1192
- **Mailing address:** PO BOX 841941, LOS ANGELES, CA 90084-1941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 09/18/2025