Adventist Health Mendocino Coast
Clinic/Center, Rural Health in Fort Bragg, CA. Organization (NPI-2).
NPI number1124220249
StatusActive
Last updated in NPPESSep 18, 2025
Details
- NPI
- 1124220249
- Entity type
- Organization (NPI-2)
- Legal business name
- Adventist Health Mendocino Coast
- Organization subpart
- No
- Enumeration date
- Jun 1, 2007
- Certification date
- Sep 18, 2025
- Last updated
- Sep 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Mendocino Coast District Hospital (Doing Business As)
Practice location
721 River DriveSuite A
Fort Bragg, CA 95437
Phone 707-961-4631 · Fax 707-964-1192
Mailing address
Po Box 841941Los Angeles, CA 90084-1941
Authorized official
Parker Pridgen
President
7074563010
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