Provider Demographics
NPI:1700339140
Name:NORTH SONOMA COUNTY HEALTHCARE DISTRICT
Entity Type:Organization
Organization Name:NORTH SONOMA COUNTY HEALTHCARE DISTRICT
Other - Org Name:NORTH SONOMA COUNTY HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-431-6501
Mailing Address - Street 1:1375 UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448-3382
Mailing Address - Country:US
Mailing Address - Phone:707-431-6500
Mailing Address - Fax:707-431-6588
Practice Address - Street 1:8911 LAKEWOOD DR STE 23
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-7856
Practice Address - Country:US
Practice Address - Phone:707-431-6523
Practice Address - Fax:707-431-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service