# ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST JOSEPH HEALTH SYSTEM
- **Other names:** Santa Rosa Memorial Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346460466
- **Legal business name:** ST JOSEPH HEALTH SYSTEM
- **Authorized official:** DONALD WAYNE ANDERSON JR. (DIRECTOR-REIMBURSEMENT ADMINISTRAT)
- **Authorized official phone:** (425) 525-5392

## Contact information

- **Practice address:** 1165 MONTGOMERY DR, SANTA ROSA, CA 95405
- **Practice address phone:** (707) 525-5300
- **Practice address fax:** (707) 525-5392
- **Mailing address:** 1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
- **Mailing address phone:** (707) 525-5300
- **Mailing address fax:** (707) 525-5392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 08/15/2018