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Organization
NORCAL HEALTHCONNECT LLC
Active
Organization
NORCAL HEALTHCONNECT LLC
Active
Other names
Petaluma Valley Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W. ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 525-5392
Entity
Organization
Contact information
Practice address
400 N. MCDOWELL BLVD, PETALUMA, CA 94954
(707) 778-1111
(707) 778-9117
Mailing address
400 N. MCDOWELL BLVD, PETALUMA, CA 94952
(707) 778-1111
(707) 525-5392
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000001
CA
Other
Enumeration date
07/09/2006
Last updated
06/03/2021
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