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BLOOD BANK OF THE REDWOODS NPI 1255543302


NPI Information

NPI: 1255543302
Provider Name: BLOOD BANK OF THE REDWOODS
Classification: Blood Bank - 331L00000X
Entity Type: Organization
Address:
2324 BETHARDS DRIVE
SANTA ROSA, CA
ZIP 95405
Phone: (707) 545-1222
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BLOOD BANK OF THE REDWOODS is a blood bank in Santa Rosa, CA. The provider is an institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation. BLOOD BANK OF THE REDWOODS NPI is 1255543302. The provider is registered as an organization entity type.

The provider's business location address is:

2324 BETHARDS DRIVE
SANTA ROSA, CA
ZIP 95405-537
Phone: (707) 545-1222
Fax: (707) 571-0152

The provider's authorized official is Cathy Bryan .
The authorized official title is President Ceo and has the following contact phone number (707) 545-1222.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


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
1331L00000XBlood Bank9312CALIFORNIAYes

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
1BB0001970MEDICAIDCALIFORNIA

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

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