PROVIDENCE MEDICAL FOUNDATION

SANTA ROSA, CA
NPI1740584473
Former Legal Business NameST JOSEPH HERITAGE HEALTHCARE
Entity TypeOrganization
Authorized ContactDONALD W. ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2011-01-10
Last Update Date2025-12-03
Business Address
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR SUITE 303
SANTA ROSA, CA 95405-4558
Phone number: 707-303-8300
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
PO BOX 31001 - 1920
PASADENA, CA 91110-1920
Phone number: 714-449-4800