| St Joseph Heritage Healthcare | |
|
24 W El Rose Dr Petaluma CA 94952-4023 | |
| (707) 763-9891 | |
| (707) 762-2311 |
| Full Name | St Joseph Heritage Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 24 W El Rose Dr, Petaluma, California |
| Authorized Official Name and Position | John Bennett (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7144494800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Heritage Healthcare 279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 Ph: (714) 449-4841 | St Joseph Heritage Healthcare 24 W El Rose Dr Petaluma CA 94952-4023 Ph: (707) 763-9891 |
| NPI Number | 1780980169 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780980169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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