ST HELENA HOSPITAL (NPI# 1982718953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982718953 |
Entity Type | Organization |
Organization Name | ST HELENA HOSPITAL |
Other Organization Name | DEER PARK PHARMACY |
Practice Address |
6 Woodland Rd Ste 100 Saint Helena CA 94574-9501 |
Practice Telephone | 7079635209 |
Practice Fax Number | 7079675615 |
Mailing Telephone | 7079635209 |
Mailing Fax Number | 7079675615 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2016-03-31 |
Authorized Official Name | STEVEN BOWEN (PIC) |
Authorized Official Telephone | 7079635209 |
Authorized Official Credential | PHARM.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY22378 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2001071 | 01 | |
CA | PHA223780 | 05 |
Other Name | Type Code |
---|---|
DEER PARK PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891214532 | St Helena Hospital | Clinic/Center | 183 Butcher Rd Ste B, Vacaville, CA 95687-5691 | 2017-09-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ST HELENA HOSPITAL FOUNDATION | 10 Woodland Rd, Saint Helena, CA 94574-9554 |
Street Address |
6 WOODLAND RD STE 100 |
City | SAINT HELENA |
State | CA |
Zip Code | 94574-9501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558361014 | Roelof Tikker | Podiatrist | 6 Woodland Rd, Suite 104, Saint Helena, CA 94574-9554 | 2005-07-27 |
1093252710 | Adventist Health Physicians Network | Orthopaedic Surgery | 6 Woodland Rd, Suite 202, Saint Helena, CA 94574-9501 | 2017-01-20 |
1306395959 | Adventist Health Physicians Network | Urology | 6 Woodland Rd, Suite 205, Saint Helena, CA 94574-9501 | 2016-09-23 |
1386199370 | Beverly Salazar Ruppert | Physician Assistant | 6 Woodland Rd, Suite 202, Saint Helena, CA 94574-9501 | 2016-08-18 |
1780042812 | Steven Bowen | Pharmacist | 6 Woodland Rd, Suite 100, Saint Helena, CA 94574-9501 | 2016-02-03 |
1437555422 | Adventist Health Physicians Network | Urology | 6 Woodland Rd, Suite 104, Saint Helena, CA 94574-9501 | 2014-11-18 |
1720400427 | Adventist Health Physicians Network | Internal Medicine | 6 Woodland Rd, Suite 303, Saint Helena, CA 94574-9501 | 2014-01-15 |
1235564170 | Adventist Health Physicians Network | Surgery | 6 Woodland Rd, Suite 301, Saint Helena, CA 94574-9501 | 2013-09-11 |
1821338302 | Adventist Health Physicians Network | Internal Medicine | 6 Woodland Rd, Suite 304, Saint Helena, CA 94574-9501 | 2013-02-21 |
1457648271 | Adventist Health California Medical Group, Inc. | Internal Medicine | 6 Woodland Rd, Suite 103, Saint Helena, CA 94574-9501 | 2011-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063909851 | Bay Imaging Consultants Medical Group Inc | Radiology | St. Helena Hospital, 10 Woodland Road, St. Helena, CA 94574 | 2018-04-17 |
1710371463 | Katherine Williams | Internal Medicine | 2800 St. Helena Highway North, Saint Helena, CA 94574 | 2015-03-20 |
1437499712 | Adventist Health Physicians Network | Family Medicine | 821 S. Saint Helena Hwy, Suite 2, Saint Helena, CA 94574 | 2013-02-22 |
1508156423 | Adventist Health Physicians Network | Obstetrics & Gynecology | 821 S. St Helena Hwy, St Helena, CA 94574 | 2011-04-12 |
1972809234 | Maxine Lorene Angell | Counselor | 2101 Spring Street, Saint Helena, CA 94574 | 2011-02-03 |
1528266202 | Ryan E Moore | Orthopaedic Surgery | 6 Woodland Rd Ste 202, Saint Helena, CA 94574 | 2007-07-05 |
1487779526 | Daniel William Hamlin | Chiropractor | 1282 Vidovich Ave, St Helena, CA 94574 | 2007-03-20 |
1386786689 | Allan Curtis Armstrong | Optometrist | 3285 Claremont, Napa, CA 94574 | 2007-02-13 |
1619024882 | Peggy Boyar Thomas | Nurse Practitioner | Adventist Health St Helena, 10 Woodland Rd, Saint Helena, CA 94574 | 2007-01-03 |
1316007628 | Darleen H Hemmerlin | Dentist | 995 Dowdell Lane, St Helena, CA 94574 | 2006-12-11 |
Find all providers in zip 94574 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
Find all providers with the same taxonomy |
City | SAINT HELENA |
Zip Code | 94574 |
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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.