Organization Name: | REDWOOD MEMORIAL HOSPITAL |
NPI Number: | 1285849026 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRY CONRAD (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 3300 Renner Dr Fortuna |
State: | CA US |
Postal Code: | 955403120 |
Phone Number: | 7077253361 |
Fax Number: | 7077257212 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/09/2007 |
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: |