REDWOODS RURAL HEALTH CENTER, INC. (NPI# 1073788832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073788832 |
| Entity Type | Organization |
| Organization Name | REDWOODS RURAL HEALTH CENTER, INC. |
| Practice Address |
101 West Coast Road Redway CA 95560 |
| Mailing Address |
Po Box 769 Redway CA 95560-0769 |
| Practice Telephone | 7979232783 |
| Practice Fax Number | 7079232543 |
| Mailing Telephone | 7079232783 |
| Mailing Fax Number | 7079232543 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | ANNE D STAUNTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7079232783 |
| Authorized Official Credential | PHD, MPH |
| Is Organization Subpart | Y |
| Parent Organization Name | REDWOODS RURAL HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
110000099 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HAP03891F | 05 |
| Street Address |
101 WEST COAST ROAD |
| City | REDWAY |
| State | CA |
| Zip Code | 95560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689764136 | Matthew R Winkle | Dentist | 101 West Coast Road, Redwoods Rural Health Center, Redway, CA 95560 | 2006-10-13 |
| 1861959223 | Julie Moore | Registered Nurse | 101 West Coast Road, Redway, CA 95530 | 2019-02-21 |
| 1306141676 | Sarah Frances Lippitt Houston | Nurse Practitioner | 101 West Coast Road, Redway, CA 95560 | 2011-01-18 |
| 1538398870 | Mandi Lisette Battles | Physician Assistant | 101 West Coast Road, Redway, CA 95560 | 2009-07-08 |
| 1821263625 | Redwoods Rural Health Center, Inc | Clinic/Center | 101 West Coast Road, Redway, CA 95560 | 2008-04-23 |
| 1194912550 | Serenity Bowen | Social Worker | 101 West Coast Road, Redway, CA 95560-0252 | 2007-10-01 |
| 1235206087 | Redwoods Rural Health Center Inc. | Clinic/Center | 101 West Coast Road, Redway, CA 95560 | 2006-11-29 |
| 1881768562 | Roy Harry Davidson | Counselor | 101 West Coast Road, Redway, CA 95560 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790222479 | Kelly Ward | Dental Hygienist | 101 West Coast Road Suite A, Redway, CA 95560 | 2017-01-19 |
| 1093965725 | Pearl Mcginley | Acupuncturist | 3168 Redwood Dr, Redway, CA 95560 | 2008-09-30 |
| 1023290301 | Blake Jerome Olson | Dentist | 101 Westcoast Rd., Redway, CA 95560 | 2007-11-29 |
| 1699803262 | Frank J. Di Bari | Dentist | 76 Briceland Road, Redway, CA 95560 | 2007-03-02 |
| 1700950276 | Maryanne Riley | Nurse Practitioner | 101 Westcoast Rd, Redway, CA 95560 | 2006-11-17 |
| 1689748147 | Marilyn Lee Foote | Social Worker | 101 West Coast Rd, Redway, CA 95560 | 2006-11-17 |
| 1447324900 | Kathleen Louise Hartje | Acupuncturist | 101 Westcoast Road, Redway, CA 95560 | 2006-11-17 |
| 1235220542 | Richard Linn | Dentist | 355 Briceland Road, Redway, CA 95560 | 2006-09-28 |
| 1093717019 | Steve A Norton | Dentist | 76 Briceland Rd, Redway, CA 95560 | 2005-08-10 |
| 1013482231 | Morgan Danielle Hines | Physician Assistant | 101 West Coast Rd, B, Redway, CA 95560 | 2018-10-04 |
| Find all providers in zip 95560 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.