Organization
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Active
Parent organization
ST. JOSEPH HEALTH SYSTEM
Other names
Providence Redwood Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOSEPH HEALTH SYSTEM
Authorized official
DONALD WAYNE ANDERSON (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 525-5392
Entity
Organization
Contact information
Practice address
3300 RENNER DR, FORTUNA, CA 95540
(707) 725-3361
(707) 725-7212
Mailing address
3300 RENNER DR, FORTUNA, CA 95540-3120
(707) 725-3361
(707) 725-7212
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
110000173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285849026
—
CA
Enumeration date
05/14/2007
Last updated
06/22/2021
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