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Organization

NORTHBAY HEALTHCARE GROUP

Active
Parent organization
NORTHBAY HEALTHCARE GROUP
Other names
dba NorthBay Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHBAY HEALTHCARE GROUP
Authorized official
JAYE LYNN BONHAM (AVP, MANAGED CARE)
(707) 646-3289
Entity
Organization

Contact information

Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5000
Mailing address
4500 BUSINESS CENTER DR, FAIRFIELD, CA 94534-6888
(707) 646-4803

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000093
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110000093
DHS LICENSE
CA
01
1255483202
NPI NORTHBAY VACAVALLEY HOSPITAL
01
GR0093200
MEDI-CAL PHYSICIAN GROUP
CA
01
HSP40367F
MEDI-CAL OUTPATIENT
CA
01
ZZR00367F
MEDI-CAL INPATIENT
CA
Enumeration date
01/09/2007
Last updated
06/09/2025
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