Organization
NORTH SONOMA COUNTY HEALTH CARE DISTRICT
Active
Other names
Healdsburg District Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD RAY BALAND CPA (CFO)
(707) 239-9068
Entity
Organization
Contact information
Practice address
1375 UNIVERSITY ST, HEALDSBURG, CA 95448-3382
(707) 431-6500
(707) 431-6588
Mailing address
1375 UNIVERSITY ST, HEALDSBURG, CA 95448-3382
(707) 431-6500
(707) 431-6588
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110000019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC70147F
—
CA
Enumeration date
10/31/2006
Last updated
03/11/2020
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