Organization
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Active
Parent organization
ST JOSEPH HEALTH SYSTEM
Other names
St. Joseph Mobile Health Clinic, Santa Rosa Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST JOSEPH HEALTH SYSTEM
Authorized official
DONALD WAYNE ANDERSON JR. (DIRECTOR-REIMBURSEMENT ADMINISTRATI)
(425) 525-5392
Entity
Organization
Contact information
Practice address
1450 MEDICAL CENTER DRIVE, SUITE 3, ROHNERT PARK, CA 94928
(707) 547-4652
Mailing address
1450 MEDICAL CENTER DRIVE, SUITE 3, ROHNERT PARK, CA 94928-2933
(707) 547-4652
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050174
MEDICARE PROVIDER NUMBER
CA
01
—
110000497
LICENSE
CA
05
—
CMM70966F
—
CA
Enumeration date
02/27/2007
Last updated
08/15/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us