# NORCAL HEALTHCONNECT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Petaluma Valley Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235162645
- **Authorized official:** MR. DONALD W. ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
- **Authorized official phone:** (425) 525-5392

## Contact information

- **Practice address:** 400 N. MCDOWELL BLVD, PETALUMA, CA 94954
- **Practice address phone:** (707) 778-1111
- **Practice address fax:** (707) 778-9117
- **Mailing address:** 400 N. MCDOWELL BLVD, PETALUMA, CA 94952
- **Mailing address phone:** (707) 778-1111
- **Mailing address fax:** (707) 525-5392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 110000001 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 06/03/2021