St. Joseph Health Northern California, Llc in Santa Rosa - Dental
St. Joseph Health Northern California, Llc - NPI 1730214131
St. Joseph Health Northern California, Llc is a Dental in Santa Rosa, California. St. Joseph Health Northern California, Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for St. Joseph Health Northern California, Llc is 1730214131. The last update date is 2018-08-15.
St. Joseph Health Northern California, Llc's current location address is 751 Lombardi Ct, Santa Rosa, California. You can contact this provider via phone number 7075472221 and fax number 7075472230. The mailing address for St. Joseph Health Northern California, Llc is 751 Lombardi Ct, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Joseph Health Northern California, Llc |
|---|---|
| Address | 751 Lombardi Ct, Santa Rosa, California |
| Phone Number | 7075472221 |
| Fax Number | 7075472230 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR-R |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1730214131 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2018-08-15 |
Provider Mailing Address Detail
| Address | 751 Lombardi Ct |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954076793 |
| Phone Number | 7075472221 |
| Fax Number | 7075472230 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 110000501 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9048301 | CA | MEDI-CAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the St. Joseph Health Northern California, Llc's unique identification number?
The St. Joseph Health Northern California, Llc has been assigned the NPI (National Provider Identifier) Number 1730214131 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of St. Joseph Health Northern California, Llc?
The St. Joseph Health Northern California, Llc is situated at 751 Lombardi Ct, in the city of Santa Rosa, state of CA, with the zip code 954076793.
What is St. Joseph Health Northern California, Llc's area of expertise and its corresponding taxonomy classification?
The St. Joseph Health Northern California, Llc's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
On what date did St. Joseph Health Northern California, Llc receive its 1730214131 assignment from the Centers for Medicare & Medicaid Services?
The St. Joseph Health Northern California, Llc was assigned its 1730214131 on 2007-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to St. Joseph Health Northern California, Llc most recently updated or revised?
The information pertaining to St. Joseph Health Northern California, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-15.