Provider Demographics
NPI:1851381990
Name:ST. HELENA HOSPITAL
Entity Type:Organization
Organization Name:ST. HELENA HOSPITAL
Other - Org Name:ADVENTIST HEALTH VALLEJO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-963-3611
Mailing Address - Street 1:525 OREGON ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-3201
Mailing Address - Country:US
Mailing Address - Phone:707-648-2200
Mailing Address - Fax:707-963-6461
Practice Address - Street 1:525 OREGON ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-3201
Practice Address - Country:US
Practice Address - Phone:707-648-2200
Practice Address - Fax:707-963-6461
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. HELENA HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-27
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA054074Medicare Oscar/Certification