| Organization Name: | RCOA-ADVENTIST HEALTH, LLC |
| NPI Number: | 1104872910 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLEN MCGEE (CHAIRMAN & CEO) |
| Mailing Address: | 275 Hospital Dr Ukiah |
| State: | CA US |
| Postal Code: | 954824531 |
| Phone Number: | 8662933500 |
| Fax Number: | 8662933535 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 08/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | 6838-17 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |