# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaiser Foundation Hospital Santa Rosa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407925928
- **Authorized official:** JUDITH L COFFEY (SENIOR VICE PRESIDENT, AREA MANAGER)
- **Authorized official phone:** (707) 571-4222

## Contact information

- **Practice address:** 401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
- **Practice address phone:** (707) 393-4000
- **Mailing address:** 401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
- **Mailing address phone:** (707) 393-4000
- **Mailing address fax:** (707) 393-4556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 110000213 | CA | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 04/20/2021
