| Organization Name: | REDWOOD MEMORIAL HOSPITAL |
| NPI Number: | 1043292303 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GALEN GORMAN (VP, CFO) |
| Mailing Address: | 3300 Renner Dr Fortuna |
| State: | CA US |
| Postal Code: | 955403120 |
| Phone Number: | 7077253361 |
| Fax Number: | 7077257212 |
| NPI Enumeration Date: | 11/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |