St. Joseph Health Northern California, LLC

Organization Active NPI Community Health Clinic/Center · Napa, CA

NPI 1386717015 · NPPES record last updated Aug 15, 2018

Key facts

NPI
1386717015
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Clinic/Center 261QC1500X
Legal business name
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Practice address
3448 Villa LN Ste 102
Napa, CA 94558
Phone
(707) 251-2016
Fax
(707) 257-7721
NPI assigned
Nov 17, 2006
Organization subpart
Yes
Parent organization (as reported)
ST JOSEPH HEALTH SYSTEM

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Director-Reimbursement Administrati
Phone
(425) 525-5392

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
St Joseph Health Northern California LLC (21 organizations share this tax ID)

Locations

3448 Villa Ln
Ste 102
Napa, CA 94558
Phone (707) 251-2000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Yes

Addresses

Primary practice location

3448 Villa LN Ste 102
Napa, CA 94558

Mailing address

3448 Villa LN Ste 102
Napa, CA 94558-6471
Phone (707) 251-2016

Other identifiers

IdentifierTypeStateIssuer
AYD000400MedicaidCA

Other names

  • Queen of the Valley Hospital Doing business as

Other providers in Napa, CA

All providers in Napa, CA · Community Health Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.