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Organization

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Active
Parent organization
ST JOSEPH HEALTH SYSTEM
Other names
Providence Santa Rosa Memorial Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST JOSEPH HEALTH SYSTEM
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization

Contact information

Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405
(707) 525-5300
(707) 525-5392
Mailing address
PO BOX 31001-3059, PASADENA, CA 91110-3059
(707) 522-4343
(707) 525-5392

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000648
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HSM00174F
CA
05
HSP40174F
CA
05
ZZR00174F
CA
Enumeration date
07/09/2006
Last updated
05/07/2025
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