Active NPI
St. Joseph Health Northern California, LLC
Doing business as Providence St. Joseph Hospital
- Rehabilitation Hospital Unit
- Eureka, CA
National Provider Identifier
1508998394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 010000075
- Legal business name
- ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
- Doing business as
- Providence St. Joseph Hospital
- Practice address
- 2700 Dolbeer St
Eureka, CA 95501 - Phone
- (707) 445-8121
- Fax
- (707) 269-3897
- NPI assigned
- Mar 9, 2007
- Last updated
- May 8, 2025
- Organization subpart
- Yes
- Parent organization
- ST. JOSEPH HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Wayne Anderson Jr.
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 010000075 | CA | Primary |
Addresses
Primary practice location
2700 Dolbeer St
Eureka, CA 95501
Mailing address
PO Box 31001-3059
Pasadena, CA 91110-3059
Phone (707) 445-8121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508998394 | Medicaid | CA | |
| ZZR00006F | Medicaid | CA |
Other names 1
- Providence St. Joseph Hospital
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Providence Queen of the Valley Medical Center
- General Acute Care Hospital
- Napa, CA
- NPI 1013080084
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746662400000",
"number": "1508998394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-3059",
"city": "PASADENA",
"state": "CA",
"postal_code": "911103059",
"telephone_number": "707-445-8121",
"fax_number": "707-269-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 DOLBEER ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "95501",
"telephone_number": "707-445-8121",
"fax_number": "707-269-3897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. JOSEPH HEALTH SYSTEM",
"enumeration_date": "2007-03-09",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
"authorized_official_telephone_number": "425-358-9786",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "CA",
"license": "010000075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508998394",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR00006F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence St. Joseph Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Providence St. Joseph Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eureka, CA
- Jane Montgomery Spini, RN
- Shelby Kathryn Springer, PA-C
- Bobbie Lynette Spurlock, ASW
- Anne St Clair
- Rachael St. Denis, CLD
- St. Joseph Health Northern California, LLC (Providence Humboldt Home Infusion)
- St. Joseph Health Northern California, LLC (Providence St. Joseph Hospital)
- St. Joseph Health Northern California, LLC (Providence St. Joseph Hospital)
- St. Joseph Home Care Network (Providence Home Health Humboldt)
- St. Joseph Home Care Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.