North Sonoma County Health Care District

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

110000019 Issued in CA

Legal business name

NORTH SONOMA COUNTY HEALTH CARE DISTRICT

Doing business as

Healdsburg District Hospital

Practice address

1375 University Ave.
Healdsburg, CA 95448-3382

Phone

(707) 431-6500

Fax

(707) 431-6588

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Healdsburg District Hospital Doing business as

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1194824573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 UNIVERSITY AVE.",
            "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 AVE.",
            "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": "2006-09-21",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "110000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40331I",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00331I",
            "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"
        }
    ]
}

• Ashley Norris
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• North Sonoma County Health Care District (Healdsburg District Hospital)
• North Sonoma County Health Care District
• North Sonoma County Health Care District (Healdsburg District Hospital)
• North Sonoma County Healthcxare District (North Sonoma County Healthcare Services)
• Northern California Medical Assoc Inc
• Northern California Medical Assoc Inc (Northern California Medical Associates, Inc.)

• Critical Access Hospital in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Critical Access Hospital in California

• 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.