# SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Humboldt Community Hospital District, Southern Humboldt Community Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336367515
- **Authorized official:** SUSAN LEE GARDNER (MED STAFF COORDINATOR)
- **Authorized official phone:** (707) 923-3921

## Contact information

- **Practice address:** 509 ELM ST, GARBERVILLE, CA 95542-3204
- **Practice address phone:** (707) 923-3921
- **Practice address fax:** (707) 923-1456
- **Mailing address:** 733 CEDAR ST, GARBERVILLE, CA 95542-3201
- **Mailing address phone:** (707) 923-3921
- **Mailing address fax:** (707) 923-1456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 110000052 | CA | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 07/01/2021