ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC; NPI #1194189654

Contact Information

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

3302 RENNER DR
FORTUNA, CA 95540

Phone: 707-725-3318
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI # 1194189654

LBN Legal business name ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 04/11/2016

Last updated 05/07/2025 - More than a year ago

Identifiers

Medicaid

1194189654

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Contact Information

Specialty

Rural Health

NPI Profile & details for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Reviews for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC