# SRM ALLIANCE HOSPITAL SERVICES

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

## Provider details

- **NPI number:** 1770703886
- **Authorized official:** MR. MICHEL DANTE RICCIONI CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (707) 525-5320

## Contact information

- **Practice address:** 400 N MCDOWELL BLVD, PETALUMA, CA 94954-2339
- **Practice address phone:** (707) 778-2631
- **Practice address fax:** (707) 778-9117
- **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:** 08/22/2020