St. Joseph Health Northern California, Llc in Fortuna - Critical Access
St. Joseph Health Northern California, Llc - NPI 1144415589
St. Joseph Health Northern California, Llc is a Critical Access in Fortuna, California. St. Joseph Health Northern California, Llc practices all healthcare services and medical treatments related to Critical Access. The NPI Number for St. Joseph Health Northern California, Llc is 1144415589. The last update date is 2021-06-22.
St. Joseph Health Northern California, Llc's current location address is 3300 Renner Dr, Fortuna, California. You can contact this provider via phone number 7077253361 and fax number 7077257212. The mailing address for St. Joseph Health Northern California, Llc is 3300 Renner Dr, Fortuna, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | St. Joseph Health Northern California, Llc |
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Address | 3300 Renner Dr, Fortuna, California |
Phone Number | 7077253361 |
Fax Number | 7077257212 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ASSISTANT |
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Authorized Official Name | Anderson W Donald |
Telephone Number | 4255255392 |
NPI Number Detail
NPI Number | 1144415589 |
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Provider Enumeration Date | 2007-09-10 |
Last Updated Date | 2021-06-22 |
Provider Mailing Address Detail
Address | 3300 Renner Dr |
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City | Fortuna |
State | California (CA) |
Post Code | 955403120 |
Phone Number | 7077253361 |
Fax Number | 7077257212 |
Provider's Primary Taxonomy Detail
Speciality | Critical Access |
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Taxonomy | 282Nc0060X |
Licence No | 110000173 |
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 |
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1043292303 | CA | -- |
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What is the unique 10-digit identification code issued to St. Joseph Health Northern California, Llc by the Centers for Medicare & Medicaid Services?
The St. Joseph Health Northern California, Llc has been assigned the NPI (National Provider Identifier) 1144415589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the St. Joseph Health Northern California, Llc's physical address?
The St. Joseph Health Northern California, Llc is physically located at 3300 Renner Dr, in the city of Fortuna, CA, with the postal code 955403120.
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 Critical Access, and it falls under the taxonomy code 282Nc0060X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1144415589 to St. Joseph Health Northern California, Llc?
The St. Joseph Health Northern California, Llc received its 1144415589 assignment from the Centers for Medicare & Medicaid Services on 2007-09-10.
When was the information regarding St. Joseph Health Northern California, Llc most recently updated?
The details pertaining to the St. Joseph Health Northern California, Llc, including its address, specialty, and other relevant information, were last refreshed on 2021-06-22.