St. Luke Healthcare and Rehabilitation Center
Organization Active NPI Skilled Nursing Facility · Fortuna, CA
NPI 1770570319 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1770570319
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ST. LUKE HEALTHCARE AND REHABILITATION CENTER
- Practice address
- 2321 Newburg Rd
Fortuna, CA 95540-2815 - Phone
- (707) 725-4467
- Fax
- (707) 725-1848
- NPI assigned
- Sep 29, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Lorena A Smith, LNHA
- Title
- Administrator
- Phone
- (707) 725-4467
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Yes |
Addresses
Primary practice location
2321 Newburg Rd
Fortuna, CA 95540-2815
Mailing address
2321 Newburg Rd
Fortuna, CA 95540-2815
Phone (707) 725-4467
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR06361G | Medicaid | CA |
Other providers in Fortuna, CA
- St. Joseph Health Northern California, LLC
- St. Joseph Health Northern California, LLC
- St. Joseph Health Northern California, LLC
- St. Joseph Health Northern California, LLC
- St. Joseph Health Northern California, LLC
- Mary Ellen Stewart
- Nancy Stinson Lollich
- Stephanie Ivy Stone
- Strehl'S Family Shoes & Repair
- Janet Tan
All providers in Fortuna, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.