SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT NPI 1003819376

NPI Information

NPI: 1003819376
Provider Name: SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT

Former Legal Business Name: SOUTHERN HUMBOLDT COMMUNITY HOSPITAL DISTRICT

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
733 CEDAR ST
GARBERVILLE, CA
ZIP 95542
Phone: (707) 923-3921
Get Directions

SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT is a critical access general acute care hospital in Garberville, CA. SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT NPI is 1003819376. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southern Humboldt Community Hospital District.

The provider's business location address is:

733 CEDAR ST
GARBERVILLE, CA
ZIP 95542-201
Phone: (707) 923-3921
Fax: (707) 923-1456

The provider's authorized official is Susan Lee Gardner .
The authorized official title is Med Staff Coordinator and has the following contact phone number (707) 923-3921.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	110000052	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	272260	OTHER	OREGON	OREGON MEDICAID
2	3003993	OTHER	WASHINGTON	WASHINGTON MEDICAID
3	ZZZJ1202Z	OTHER	CALIFORNIA	BLUE SHIELD
4	174988	OTHER	ARIZONA	ARIZONA MEDICAID
5	HSP30482G	OTHER	CALIFORNIA	MEDI-CAL INPATIENT
6	050482	OTHER	CALIFORNIA	BLUE CROSS INPATIENT & OUTPATIENT
7	HSP40482G	OTHER	CALIFORNIA	MEDI-CAL OUTPATIENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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