MEDICARE: REDWOOD GOSPEL MISSIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1336939966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDWOOD GOSPEL MISSIONS

Provider Business Mailing Address
First Line	:	PO BOX 493
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95402-0493
Country	:	US
Telephone Number	:	707-578-1830
Fax Number	:	707-578-4841

Provider Business Practice Location Address
First Line	:	101 6TH ST
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95401-6218
Country	:	US
Telephone Number	:	707-542-4187
Fax Number	:	707-544-6185

Authorized Official
Title or Position	:	GUEST SERVICES MANAGER
Name	:	MR. CHRISTIAN JAMES CROSSLAND
Credential	:
Telephone Number	:	707-679-8375

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

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Directions to “REDWOOD GOSPEL MISSIONS ” Practice Location

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