| Organization Name: | ST. JOSEPH HOSPITAL EUREKA WILLOW CREEK FAMILY HEALTH CENTER |
| NPI Number: | 1336174564 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROSEMARY FRANCES DEN OUDEN (CLINIC MANAGER) |
| Mailing Address: | 38883 Hwy 299 Willow Creek |
| State: | CA US |
| Postal Code: | 955730726 |
| Phone Number: | 5306293111 |
| Fax Number: | 5306293122 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 01/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |