SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
NPI 1003819376
General Acute Care Hospital - Critical Access in Garberville, CA

Q: What is Southern Humboldt Community Healthcare District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Active since May 31, 2005

733 CEDAR ST, GARBERVILLE, CA 95542(707) 923-3921(707) 923-1456 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2021, Jan 3, 2019, Oct 2, 2018 and 1 more (4 updates tracked since 2016).

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About Southern Humboldt Community Healthcare District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT (NPI 1003819376), doing business as Southern Humboldt Community Hospital District, is a healthcare organization registered as a critical access in Garberville, California and active in the NPI registry since May 2005. The organization lists Susan Lee Gardner, Med Staff Coordinator, as its authorized official.

NPPES Registry Identity

NPI1003819376

Entity TypeOrganization

Primary Taxonomy282NC0060X

Legal Business NameSOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT

Location Address733 CEDAR STGarberville, CA 95542-3201

Mailing Address733 Cedar StGarberville, CA 95542-3201 · (707) 923-3921 · Fax (707) 923-1456

Phone(707) 923-3921

Fax(707) 923-1456

Organization SubpartNo

Authorized OfficialSusan Lee GardnerMed Staff Coordinator · (707) 923-3921

Enumeration DateMay 31, 2005

Last NPPES UpdateJuly 1, 20214 updates tracked since enumeration

NPPES CertifiedJuly 1, 2021

✔ NPI 1003819376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals

Taxonomy Code282NC0060X

License✔ Licensed in CA · 110000052

733 CEDAR ST, Garberville, CA 95542

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Other Names 2

Former Legal Business NameSouthern Humboldt Community Hospital District

Doing Business AsJerold Phelps Community Hospital

Other Identifiers 7

Other272260OR · Oregon Medicaid

Other3003993WA · Washington Medicaid

OtherZZZJ1202ZCA · Blue Shield

Other174988AZ · Arizona Medicaid

OtherHSP30482GCA · Medi-cal Inpatient

Other050482CA · Blue Cross Inpatient & Outpatient

OtherHSP40482GCA · Medi-cal Outpatient

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JANET LOUISE SURRELL PT

Physical Therapist