Organization
UKIAH ADVENTIST HOSPTIAL
Active
Other names
Adventist Health Ukiah Valley
Organization subpart
No
Provider details
NPI number
Authorized official
JUDSON HOWE (PRESIDENT)
(707) 456-3010
Entity
Organization
Contact information
Practice address
1165 S DORA ST, SUITE B-1, UKIAH, CA 95482-8325
(707) 463-8000
(707) 462-1111
Mailing address
PO BOX 888867, LOS ANGELES, CA 90088-8867
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
110000095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP40301F
—
CA
Enumeration date
11/09/2006
Last updated
03/28/2023
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