Organization · Type 2 NPI

St. Joseph Health Northern California, LLC

Skilled Nursing Facility · Santa Rosa, CA

NPI number 1346460466 Active

Practice location

1165 Montgomery Dr
Santa Rosa, CA 95405

Fax (707) 525-5392

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

130 other providers at this address

Other skilled nursing facility providers in Santa Rosa

See all in Santa Rosa →

NPI record

NPI: 1346460466
Entity type: Organization (Type 2)
Issued: Apr 30, 2007
Last updated: Aug 15, 2018
Status: Active
Subpart: Yes of ST Joseph Health System

Other names

<unavail>
Santa Rosa Memorial Hospital · doing business as

Authorized official

Donald Wayne Anderson
Director-Reimbursement Administrat
(425) 525-5392

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1346460466

St. Joseph Health Northern California, LLC's National Provider Identifier is 1346460466, issued on Apr 30, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 15, 2018.