UKIAH ADVENTIST HOSPITAL (NPI# 1588095848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588095848 |
| Entity Type | Organization |
| Organization Name | UKIAH ADVENTIST HOSPITAL |
| Other Organization Name | ADVENTIST HEALTH UKIAH VALLEY |
| Practice Address |
850 Sequoia Cir Fort Bragg CA 95437-5490 |
| Mailing Address |
Po Box 398867 San Francisco CA 94139-8867 |
| Practice Telephone | 7079640259 |
| Practice Fax Number | 7079640765 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | RYAN QUATTLEBAUM (CFO) |
| Authorized Official Telephone | 7074637360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Adventist Health Ukiah Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952471542 | Ukiah Adventist Hospital | Clinic/Center | 260 Hospital Drive Suite 207, Ukiah, CA 95482-6353 | 2006-11-09 |
| 1770653362 | Ukiah Adventist Hospital | Clinic/Center | 1050 N State St, Ukiah, CA 95482-3414 | 2006-11-09 |
| 1174583504 | Ukiah Adventist Hospital | Allergy & Immunology | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-03-28 |
| 1235120676 | Ukiah Adventist Hospital | Allergy & Immunology | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2005-11-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | UKIAH ADVENTIST HOSPITAL | 275 Hospital Drive, Ukiah, CA 95482 |
| Street Address |
850 SEQUOIA CIR |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386656312 | Diane I. Harris | Family Medicine | 850 Sequoia Cir, Fort Bragg, CA 95437-5490 | 2006-08-11 |
| 1043604705 | Adventist Health Physicians Network | Clinic/Center | 850 Sequoia Cir, Fort Bragg, CA 95437-5490 | 2015-03-20 |
| 1710017371 | Womens Health Center | Obstetrics & Gynecology | 850 Sequoia Cir, Fort Bragg, CA 95437-5490 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346410230 | William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp | Clinic/Center | 510 Cypress St Ste D, Fort Bragg, CA 95437-5411 | 2008-03-06 |
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| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.