Southern Humboldt Community Healthcare District in Garberville - Critical Access

Southern Humboldt Community Healthcare District - NPI 1003819376

Southern Humboldt Community Healthcare District is a Critical Access in Garberville, California. Southern Humboldt Community Healthcare District practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Southern Humboldt Community Healthcare District is 1003819376. The last update date is 2021-07-01.

Southern Humboldt Community Healthcare District's current location address is 733 Cedar St, Garberville, California. You can contact this provider via phone number 7079233921 and fax number 7079231456. The mailing address for Southern Humboldt Community Healthcare District is 733 Cedar St, Garberville, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Humboldt Community Healthcare District
Address 733 Cedar St, Garberville, California
Phone Number 7079233921
Fax Number 7079231456
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MED STAFF
Authorized Official Name Gardner Lee Susan
Telephone Number 7079233921

NPI Number Detail

NPI Number 1003819376
Provider Enumeration Date 2005-05-31
Last Updated Date 2021-07-01

Provider Mailing Address Detail

Address 733 Cedar St
City Garberville
State California (CA)
Post Code 9554232010
Phone Number 7079233921
Fax Number 7079231456

Provider's Primary Taxonomy Detail

Speciality Critical Access
Taxonomy 282Nc0060X
Licence No 110000052
Definition:
Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
272260 OR OREGON MEDICAID
HSP30482G CA MEDI-CAL INPATIENT
HSP40482G CA MEDI-CAL OUTPATIENT
50482 CA BLUE CROSS INPATIENT & OUTPATI
174988 AZ ARIZONA MEDICAID
ZZZJ1202Z CA BLUE SHIELD
3003993 WA WASHINGTON MEDICAID

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FAQs about Southern Humboldt Community Healthcare District

What is the Southern Humboldt Community Healthcare District's 1003819376?

The Southern Humboldt Community Healthcare District's NPI (National Provider Identifier) Number is 1003819376. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Southern Humboldt Community Healthcare District is located?

The Southern Humboldt Community Healthcare District is situated at the following address: 733 Cedar St, Garberville, CA, 9554232010.

What is Southern Humboldt Community Healthcare District's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Southern Humboldt Community Healthcare District's specialized field of practice is Critical Access, and the corresponding taxonomy code that categorizes this area of specialization is 282Nc0060X.

On what date did Southern Humboldt Community Healthcare District receive its 1003819376 assignment from the Centers for Medicare & Medicaid Services?

The Southern Humboldt Community Healthcare District was assigned its 1003819376 on 2005-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Southern Humboldt Community Healthcare District most recently updated or refreshed?

The details pertaining to the Southern Humboldt Community Healthcare District, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-07-01.

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