Organization
UKIAH ADVENTIST HOSPITAL
Active
Other names
Adventist Health Ukiah Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PARKER PRIDGEN (PRESIDENT)
(707) 456-3010
Entity
Organization
Contact information
Practice address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(707) 462-3111
(707) 463-7689
Mailing address
PO BOX 888867, LOS ANGELES, CA 90088-8867
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05433002
KAISER
CA
01
—
ZZZ13334Z
BLUE SHIELD
CA
01
—
ZZZ18251Z
BLUE SHIELD
CA
01
—
ZZZ92403Z
BLUE SHIELD
CA
01
—
ZZZC2307Z
BLUE SHIELD
CA
01
—
ZZZC2308Z
BLUE SHIELD
CA
Enumeration date
03/28/2006
Last updated
09/18/2025
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