ST. JOSEPH HEALTH NORTHERN CALIFORNIA LLC NPI 1285849026

NPI Information

  • NPI: 1285849026
  • Provider Name: ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • Doing Business As: PROVIDENCE REDWOOD MEMORIAL HOSPITAL
  • Address: 3300 RENNER DR
    FORTUNA, CA
    ZIP 95540
  • Phone: (707) 725-3361

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NPI Details

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC is a critical access general acute care hospital in Fortuna, CA. ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC NPI is 1285849026. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Redwood Memorial Hospital.

The provider's business location address is:

3300 RENNER DR
FORTUNA, CA
ZIP 95540
Phone: (707) 725-3361
Fax: (707) 725-7212

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 6/22/2021.

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
1282NC0060XGeneral Acute Care HospitalCritical Access110000173CALIFORNIAYes

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
11285849026MEDICAIDCALIFORNIA

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: 11/21/2025

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