ADVENTIST HEALTH MENDOCINO COAST
NPI 1124220249
Clinic/Center - Rural Health in Fort Bragg, CA
About Adventist Health Mendocino Coast NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVENTIST HEALTH MENDOCINO COAST (NPI 1124220249), doing business as Mendocino Coast District Hospital, is a healthcare organization registered as a rural health in Fort Bragg, California and active in the NPI registry since June 2007. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Parker Pridgen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 05D0612009
Adventist Health Mendocino Coast · Fort Bragg, CAOther Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT BRAGG, CA 95437
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Adventist Health Mendocino Coast's NPI number?
The NPI number for Adventist Health Mendocino Coast is 1124220249. It was assigned to this organization in the NPPES registry on June 1, 2007. The provider is doing business as Mendocino Coast District Hospital.
Where is Adventist Health Mendocino Coast located?
Adventist Health Mendocino Coast is located at 721 River Drive Suite A, Fort Bragg, CA 95437. The listed phone number is (707) 961-4631.
What is Adventist Health Mendocino Coast's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Adventist Health Mendocino Coast hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 05D0612009) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Adventist Health Mendocino Coast was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
