St Joseph Health Northern California, LLC
St Joseph Health Northern California, LLC is a Rural Health Clinic/Center in Fortuna, California. Registered with an NPI since 2016.
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3302 Renner DrFortuna, CA 95540
Phone: (707) 725-3318
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|
Record details
| NPI number | 1194189654 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Joseph Health |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | Providence Family Practice |
| NPI enumerated | April 11, 2016 |
| Last updated in NPPES | May 7, 2025 |
| Certification date | May 7, 2025 |
| Mailing address | Po Box 31001-3059, Pasadena, CA 91110-3059 |