St. Joseph Health Northern California, Llc in Fortuna - Critical Access

St. Joseph Health Northern California, Llc - NPI 1285849026

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 1285849026. 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
Address 3300 Renner Dr, Fortuna, California
Phone Number 7077253361
Fax Number 7077257212
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ASSISTANT
Authorized Official Name Anderson Wayne Donald
Telephone Number 4255255392

NPI Number Detail

NPI Number 1285849026
Provider Enumeration Date 2007-05-14
Last Updated Date 2021-06-22

Provider Mailing Address Detail

Address 3300 Renner Dr
City Fortuna
State California (CA)
Post Code 955403120
Phone Number 7077253361
Fax Number 7077257212

Provider's Primary Taxonomy Detail

Speciality Critical Access
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
1285849026 CA --

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FAQs about St. Joseph Health Northern California, Llc

What is the unique 10-digit identifier code assigned to St. Joseph Health Northern California, Llc by the Centers for Medicare & Medicaid Services?

The St. Joseph Health Northern California, Llc has been issued the NPI (National Provider Identifier) 1285849026 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of St. Joseph Health Northern California, Llc?

The St. Joseph Health Northern California, Llc is situated at 3300 Renner Dr, in the city of Fortuna, state of CA, with the zip code 955403120.

What is St. Joseph Health Northern California, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The St. Joseph Health Northern California, Llc'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 the St. Joseph Health Northern California, Llc receive its 1285849026 assignment from the Centers for Medicare & Medicaid Services?

The St. Joseph Health Northern California, Llc was assigned its 1285849026 by the Centers for Medicare & Medicaid Services on 2007-05-14.

When was the information pertaining to St. Joseph Health Northern California, Llc most recently updated or revised?

The details related to St. Joseph Health Northern California, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-22.

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