ADVENTIST HEALTH MENDOCINO COAST NPI 1538113725

NPI Information

NPI: 1538113725
Provider Name: ADVENTIST HEALTH MENDOCINO COAST

Doing Business As: MENDOCINO COAST DISTRICT HOSPITAL

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

Specialization: Critical Access

Address:
700 RIVER DR
FORT BRAGG, CA
ZIP 95437
Phone: (707) 961-1234
Get Directions

ADVENTIST HEALTH MENDOCINO COAST is a critical access general acute care hospital in Fort Bragg, CA. ADVENTIST HEALTH MENDOCINO COAST NPI is 1538113725. The provider is registered as an organization entity type.
The provider Is Doing Business As Mendocino Coast District Hospital.

The provider's business location address is:

700 RIVER DR
FORT BRAGG, CA
ZIP 95437-403
Phone: (707) 961-1234
Fax: (707) 961-4901

The provider's authorized official is Judson Howe .
The authorized official title is President and has the following contact phone number (707) 456-3010.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 4/13/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	110000040	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	LTC30569F	OTHER		MEDICAL SWING BED
2	PHB160620	OTHER		MEDICAL PHARMACY
3	ZZZ57360Z	OTHER	CALIFORNIA	BLUE SHIELD CLINIC
4	ZZZ96931Z	OTHER	CALIFORNIA	BLUE SHIELD ER
5	ZZZ14750Z	OTHER	CALIFORNIA	BLUE SHIELD
6	HSP40569F	OTHER		MEDICAL OUTPATIENT
7	MTE00312F	OTHER		MEDICAL AMBULANCE
8	PHB160620	OTHER		BLUE SHIELD
9	ZZZA2301Z	OTHER	CALIFORNIA	BLUE SHIELD HOSPITAL
10	050569	OTHER		BLUE CROSS
11	ZZR00569F	MEDICAID	CALIFORNIA
12	952627981	OTHER	CALIFORNIA	COMMERCIAL
13	ZZZ36026Z	OTHER	CALIFORNIA	BLUE SHIELD INFUSION
14	ZZZ39861Z	OTHER	CALIFORNIA	BLUE 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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »