# UKIAH ADVENTIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventist Health Ukiah Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588095848
- **Authorized official:** MR. PARKER PRIDGEN (PRESIDENT)
- **Authorized official phone:** (707) 456-3010

## Contact information

- **Practice address:** 850 SEQUOIA CIR, FORT BRAGG, CA 95437-5490
- **Practice address phone:** (707) 964-0259
- **Practice address fax:** (707) 964-0765
- **Mailing address:** PO BOX 888867, LOS ANGELES, CA 90088-8867

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 09/18/2025