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UKIAH ADVENTIST HOSPITAL NPI 1174583504


NPI Information

NPI: 1174583504
Provider Name: UKIAH ADVENTIST HOSPITAL

Doing Business As: UKIAH VALLEY MEDICAL CENTER

Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
275 HOSPITAL DR
UKIAH, CA
ZIP 95482
Phone: (707) 462-3111
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UKIAH ADVENTIST HOSPITAL is an allergy allergy immunology in Ukiah, CA. UKIAH ADVENTIST HOSPITAL NPI is 1174583504. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ukiah Valley Medical Center.

The provider's business location address is:

275 HOSPITAL DR
UKIAH, CA
ZIP 95482-531
Phone: (707) 462-3111
Fax: (707) 463-7689

The provider's authorized official is Warren Tetz .
The authorized official title is Fo and has the following contact phone number (707) 456-3001.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 1/6/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
2207KA0200XAllergy & ImmunologyAllergyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ13334ZOTHERCALIFORNIABLUE SHIELD
2ZZZC2308ZOTHERCALIFORNIABLUE SHIELD
305433002OTHERCALIFORNIAKAISER
4ZZZ18251ZOTHERCALIFORNIABLUE SHIELD
5ZZZC2307ZOTHERCALIFORNIABLUE SHIELD
6ZZZ92403ZOTHERCALIFORNIABLUE SHIELD

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: 11/14/2023

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