Healthcare Provider Details

I. General information

NPI: 1700339140
Provider Name (Legal Business Name): NORTH SONOMA COUNTY HEALTHCARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 11/27/2023
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8911 LAKEWOOD DR STE 23
WINDSOR CA
95492-7856
US

IV. Provider business mailing address

1375 UNIVERSITY ST
HEALDSBURG CA
95448-3382
US

V. Phone/Fax

Practice location:
  • Phone: 707-431-6523
  • Fax: 707-431-6588
Mailing address:
  • Phone: 707-431-6500
  • Fax: 707-431-6588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH P HARRINGTON
Title or Position: CEO
Credential:
Phone: 707-431-6501