| St Joseph Heritage Healthcare | |
|
500 Doyle Park Dr Suite G-04 Santa Rosa CA 95405-4558 | |
| (707) 303-8360 | |
| (707) 303-8361 |
| Full Name | St Joseph Heritage Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Doyle Park Dr, 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 |
|---|---|
| St Joseph Heritage Healthcare 279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 Ph: (714) 449-4841 | St Joseph Heritage Healthcare 500 Doyle Park Dr Suite G-04 Santa Rosa CA 95405-4558 Ph: (707) 303-8360 |
| NPI Number | 1841596863 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841596863 | 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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