St Joseph Heritage Healthcare | |
4750 Hoen Ave Santa Rosa CA 95405-7833 | |
(707) 542-1611 | |
(707) 542-9958 |
Full Name | St Joseph Heritage Healthcare |
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Speciality | Family Medicine |
Location | 4750 Hoen Ave, Santa Rosa, 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 |
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St Joseph Heritage Healthcare 279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 Ph: (714) 449-4841 | St Joseph Heritage Healthcare 4750 Hoen Ave Santa Rosa CA 95405-7833 Ph: (707) 542-1611 |
NPI Number | 1053617076 |
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Provider Enumeration Date | 02/09/2011 |
Last Update Date | 02/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053617076 | 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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