SOUTHERN HUMBOLDT COMMUNITY HOSPITAL DISTRICT (NPI# 1245458421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245458421 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HUMBOLDT COMMUNITY HOSPITAL DISTRICT |
| Other Organization Name | JEROLD PHELPS COMMUNITY HOSPITAL SKILLED NURSING FACILITY |
| Practice Address |
733 Cedar St Garberville CA 95542-3201 |
| Practice Telephone | 7079233921 |
| Practice Fax Number | 7079231456 |
| Mailing Telephone | 7079233921 |
| Mailing Fax Number | 7079231456 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | MR. MATTHEW E REES (ADMINISTRATOR) |
| Authorized Official Telephone | 7079233921 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 110000052 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 174988 | 05 | |
| CA | BLUE SHIELD (HOSPITAL) | ZZZJ1202Z | 01 |
| OR | 272260 | 05 | |
| CA | MEDI-CAL SNF | LTC55516F | 01 |
| WA | 3003993 | 05 |
| Other Name | Type Code |
|---|---|
| Jerold Phelps Community Hospital Skilled Nursing Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508192220 | Southern Humboldt Community Hospital District | General Acute Care Hospital | 733 Cedar St, Garberville, CA 95542-3201 | 2009-10-30 |
| Street Address |
733 CEDAR ST |
| City | GARBERVILLE |
| State | CA |
| Zip Code | 95542-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819376 | Southern Humboldt Community Healthcare District | General Acute Care Hospital | 733 Cedar St, Garberville, CA 95542-3201 | 2005-05-31 |
| 1356878615 | Sarah Darlene Beach | Nurse Practitioner | 733 Cedar St, Garberville, CA 95542-3201 | 2017-05-17 |
| 1942664701 | Seth Francis Einterz | Family Medicine | 733 Cedar St, Garberville, CA 95542 | 2016-04-07 |
| 1508192220 | Southern Humboldt Community Hospital District | General Acute Care Hospital | 733 Cedar St, Garberville, CA 95542-3201 | 2009-10-30 |
| 1396876710 | Barbara A Hayes | Nurse Practitioner | 733 Cedar St, Garberville, CA 95542-3201 | 2007-03-08 |
| 1841342128 | Humboldt Radiology Medical Group Inc | Radiology | 733 Cedar St, Garberville, CA 95542-3201 | 2007-01-17 |
| 1215001920 | Judith Mary Nash | Nurse Practitioner | 733 Cedar St, Garberville, CA 95542-3201 | 2006-11-17 |
| 1316011893 | Linda H. Candiotti | Physician Assistant | 733 Cedar St, Garberville, CA 95542-3201 | 2006-11-17 |
| 1730252610 | Peter A Nash | Family Medicine | 733 Cedar St, Garberville, CA 95542-3201 | 2006-11-16 |
| 1023093077 | Janet Louise Surrell | Physical Therapist | 733 Cedar St, Garberville, CA 95542-3201 | 2005-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417264896 | Nancy R Peregrine | Dietitian, Registered | 464 Maple Ln, Garberville, CA 95542 | 2010-09-08 |
| 1427269307 | Singing Trees Recovery Center | Substance Abuse Rehabilitation Facility | 2061 Highway 101 South, Garberville, CA 95542 | 2007-05-24 |
| 1225168057 | Christine Radley Spurlock | Chiropractor | 441 Melville Road, Garberville, CA 95542 | 2007-03-07 |
| 1659413854 | Elizabeth Mckey | Marriage & Family Therapist | 727 Cedar St., Garberville, CA 95542 | 2007-02-13 |
| 1497840102 | Brian M Ormond | Chiropractor | 353 Sprowel Creek Road, Garberville, CA 95542 | 2006-10-04 |
| 1760704167 | Lorraine M Carolan | Advanced Practice Midwife | 867 Redwood Dr Ste D, Garberville, CA 95542-3100 | 2010-02-25 |
| 1831112382 | Lewis Jay Lester | Social Worker | 615a Bear Creek Rd, Garberville, CA 95542-3102 | 2006-07-25 |
| 1073660197 | Linda Lowe | Counselor | 615a Bear Creek Rd, Garberville, CA 95542-3102 | 2007-01-03 |
| 1841286903 | Keiths Pharmacy LLC | Pharmacy | 875 Redwood Dr, Garberville, CA 95542-3106 | 2005-09-23 |
| 1083014518 | Keith's Parmacy LLC | Pharmacist | 875 Redwood Dr, Garberville, CA 95542-3106 | 2014-09-03 |
| Find all providers in zip 95542 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | GARBERVILLE |
| Zip Code | 95542 |
Please comment or provide details below to improve the information on SOUTHERN HUMBOLDT COMMUNITY HOSPITAL DISTRICT.
| 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.