St. Joseph Health Northern California, LLC
NPI #1194189654 in Fortuna, California
Provider Information
- NPI Number
- 1194189654
- Entity Type
- Organization
- Organization Name
- St. Joseph Health Northern California, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST. JOSEPH HEALTH
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Apr 11, 2016
- Last Updated
- May 7, 2025
Practice Location
- Address
- 3302 RENNER DR
- City
- Fortuna
- State
- California
- ZIP Code
- 95540
- Phone
- (707) 725-3318
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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