Organization
SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
Active
Other names
Jerold Phelps Community Hospital, Jerold Phelps Community Hospital Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
KENT SCOWN (CHIEF OPERATING OFFICER)
(707) 923-3921
Entity
Organization
Contact information
Practice address
733 CEDAR ST, GARBERVILLE, CA 95542-3201
(707) 923-3921
(707) 923-1456
Mailing address
733 CEDAR ST, GARBERVILLE, CA 95542-3201
(707) 923-3921
(707) 923-1456
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
110000052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174988
—
AZ
05
—
272260
—
OR
05
—
3003993
—
WA
01
—
LTC30482G
MEDI-CAL
CA
Enumeration date
10/30/2009
Last updated
02/01/2022
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