Redwood Memorial Hospital

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REDWOOD MEMORIAL HOSPITAL

Practice address

3300 Renner Dr
Fortuna, CA 95540-3120

Phone

(707) 725-3361

Fax

(707) 725-7212

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joe Rogers

Title

Coo

Phone

(707) 725-3361

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• REDWOOD MEMORIAL CLINIC Other name

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1720279581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RENNER DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403120",
            "telephone_number": "707-725-3361",
            "fax_number": "707-725-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RENNER DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403120",
            "telephone_number": "707-725-3361",
            "fax_number": "707-725-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "707-725-3361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40172F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "051318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDWOOD MEMORIAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Felice Philips
• Lacey Pipher
• Anthony Pirouz, PA-C
• Red Phoenix Recovery LLC (Red Phoenix Recovery)
• Redwood Internal Medicine (Huppenbauer & Rangel MD)
• Redwood Pediatric Medical Group
• Redwood Radiology Imaging Medical Clinic
• Redwood Women's Center, a Medical Corporation
• Redwood Women's Health Center
• Redwoods Rural Health Center, Inc. (Redwoods Rural Health Center -Fortuna)

• Clinic/Center in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.