Organization · Type 2 NPI

St. Joseph Health Northern California, LLC

Rehabilitation Hospital Unit · Santa Rosa, CA

NPI number 1881814903 Active

Practice location

1165 Montgomery Dr
Santa Rosa, CA 95405

Call (707) 525-5300 Map

Fax (707) 525-5392

Mailing address

PO Box 31001-3059
Pasadena, CA 91110-3059

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Hospital Unit Primary	273Y00000X	None listed

Rehabilitation Hospital Unit: In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets th…

130 other providers at this address

NPI record

NPI: 1881814903
Entity type: Organization (Type 2)
Issued: Apr 30, 2007
Last updated: May 8, 2025
Status: Active
Subpart: Yes of St. Joseph Health System

Other names

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Providence Santa Rosa Memorial Hospital · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary of Enrollments
(425) 358-9786

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.

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About NPI 1881814903

St. Joseph Health Northern California, LLC's National Provider Identifier is 1881814903, issued on Apr 30, 2007. The primary taxonomy on file is Rehabilitation Hospital Unit (273Y00000X), and the practice location is in Santa Rosa, CA. The record was last updated on May 8, 2025.