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Organization

NORCAL HEALTHCONNECT LLC

Active
Other names
Petaluma Valley Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD W. ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 525-5392
Entity
Organization

Contact information

Practice address
400 N. MCDOWELL BLVD, PETALUMA, CA 94954
(707) 778-1111
(707) 778-9117
Mailing address
400 N. MCDOWELL BLVD, PETALUMA, CA 94952
(707) 778-1111
(707) 525-5392

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000001
CA

Other

Enumeration date
07/09/2006
Last updated
06/03/2021
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