PROVIDENCE REDWOOD MEMORIAL HOSPITAL – NPI #1285849026
General Acute Care Hospital

PROVIDENCE REDWOOD MEMORIAL HOSPITAL is a general acute care hospital located in FORTUNA, CA. NPPES has assigned the NPI number 1285849026 to PROVIDENCE REDWOOD MEMORIAL HOSPITAL on May 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROVIDENCE REDWOOD MEMORIAL HOSPITAL” is a dba name, the actual legal business name for this organization is ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 5 years ago on Jun 22, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE REDWOOD MEMORIAL HOSPITAL below.

NPI Profile for
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI Number
1285849026
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Doing Business As (dba): PROVIDENCE REDWOOD MEMORIAL HOSPITAL
Primary location
3300 RENNER DR
FORTUNA, CA 95540
Phone: (707) 725-3361 Fax: (707) 725-7212
Mailing address
Same as primary location
Organization Subpart
Yes - PROVIDENCE REDWOOD MEMORIAL HOSPITAL is subpart of another organization.
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY FOR ENROLLMENT
Phone: (425) 525-5392
Updated
Certification Date
Jun 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROVIDENCE REDWOOD MEMORIAL HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA1285849026
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 CA 110000173

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3300 RENNER DR,
FORTUNA, CA 77025-1669