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Contact Information

BLOOD BANK OF THE REDWOODS
2324 BETHARDS DRIVE
SANTA ROSA, CA95405-8537
 Phone: 707-545-1222
 Fax: 707-571-0152
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Blood Bank

331L00000X
Indicates primary specialty

NPI Profile & details for BLOOD BANK OF THE REDWOODS

NPI Number 1255543302
LBN Legal business name BLOOD BANK OF THE REDWOODS
Authorized official CATHY BRYAN - (PRESIDENT CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 9312
CA Medicaid BB0001970
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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