NPIMap

Organization Active NPI

North Sonoma County Health Care District

Doing business as Healdsburg District Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Healdsburg, CA
National Provider Identifier
1043308539
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
110000019 Issued in CA
Legal business name
NORTH SONOMA COUNTY HEALTH CARE DISTRICT
Doing business as
Healdsburg District Hospital
Practice address
1375 University St
Healdsburg, CA 95448-3382
Phone
(707) 431-6500
Fax
(707) 431-6588
NPI assigned
Oct 10, 2006
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard R Baland, CPA
Title
Cfo
Phone
(707) 239-9068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 110000019 CA Primary

Addresses

Primary practice location

1375 University St
Healdsburg, CA 95448-3382

Mailing address

1375 University St
Healdsburg, CA 95448-3382
Phone (707) 431-6500

Other identifiers 1

IdentifierTypeStateIssuer
LTC30331IMedicaidCA

Other names 1

  • Healdsburg District Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

400 Camino Aguajito
Ste 103
Monterey, CA 93940
Phone (831) 901-3490

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1043308539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483382",
            "telephone_number": "707-431-6500",
            "fax_number": "707-431-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483382",
            "telephone_number": "707-431-6500",
            "fax_number": "707-431-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SONOMA COUNTY HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "BALAND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-239-9068",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "CA",
            "license": "110000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC30331I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healdsburg District Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healdsburg District Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Healdsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.