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UKIAH ADVENTIST HOSPTIAL NPI 1780754374


NPI Information

NPI: 1780754374
Provider Name: UKIAH ADVENTIST HOSPTIAL

Doing Business As: ADVENTIST HEALTH UKIAH VALLEY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1165 S DORA ST
SUITE B-1
UKIAH, CA
ZIP 95482
Phone: (707) 463-8000
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UKIAH ADVENTIST HOSPTIAL is a rural health clinic center in Ukiah, CA. UKIAH ADVENTIST HOSPTIAL NPI is 1780754374. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Ukiah Valley.

The provider's business location address is:

1165 S DORA ST
SUITE B-1
UKIAH, CA
ZIP 95482-325
Phone: (707) 463-8000
Fax: (707) 462-1111

The provider's authorized official is Warren Lee 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 11/9/2006 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
1261QR1300XClinic/CenterRural Health110000095CALIFORNIAYes

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
1HSP40301FMEDICAIDCALIFORNIA

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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