| NPI | 1336367515 |
|---|---|
| Former Legal Business Name | SOUTHERN HUMBOLDT COMMUNITY HOSPITAL DISTRICT |
| Doing Business As | SOUTHERN HUMBOLDT COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSAN LEE GARDNER Med Staff Coordinator 707-923-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA 110000052) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-07-01 |