Organization
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Active
Parent organization
ST. JOSEPH HEALTH SYSTEM
Other names
Providence Queen of the Valley Medical Center
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
1000 TRANCAS ST, NAPA, CA 94558
(707) 252-4411
(707) 257-4113
Mailing address
PO BOX 31001-3059, PASADENA, CA 91110-3059
(707) 252-4411
(707) 257-4113
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
CHAMPUS
CA
01
—
01
KAISER
CA
01
—
050009
W/C AND MOST COMMERCIAL
CA
01
—
1017634
AETNA
CA
05
—
1235218785
—
CA
01
—
4171
BLUE CROSS
CA
01
—
ZZZA28032
BLUE SHIELD
CA
05
—
ZZZR00009F
—
CA
Enumeration date
11/03/2006
Last updated
05/07/2025
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