1. Home
  2. Directory
  3. California
  4. Fortuna
  5. General Acute Care Hospital
  6. NPI Profile

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
NPI 1144415589
General Acute Care Hospital - Critical Access in Fortuna, CA

Active since September 10, 2007
3300 RENNER DR, FORTUNA, CA 95540(707) 725-3361(707) 725-7212 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 7, 2025, Jun 22, 2021, Aug 9, 2018 (3 updates tracked since 2018).

About St. Joseph Health Northern California, Llc NPPES

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

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC (NPI 1144415589), doing business as Providence Redwood Memorial Hospital, is a healthcare organization registered as a critical access in Fortuna, California and active in the NPI registry since September 2007. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1144415589
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Location Address3300 RENNER DRFortuna, CA 95540
Mailing AddressPo Box 31001-3059Pasadena, CA 91110-3059 · (707) 725-3361 · Fax (707) 725-7212
Phone(707) 725-3361
Fax(707) 725-7212
Organization SubpartYesParent: St. Joseph Health System
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateSeptember 10, 2007
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1144415589 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 · 110000173
3300 RENNER DR, Fortuna, CA 95540
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Redwood Memorial Hospital

Other Identifiers 1

Medicaid1043292303CA

Other Providers at the Same Location NPPES 20

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

STEPHANIE L DEMARA M.D.
Anesthesiology
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3611
DR. WILLIAM M FRENCH M.D.
Radiology (Diagnostic Radiology)
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
General Acute Care Hospital (Critical Access)
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Pharmacy
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-7332
MIAE LEE CRNA
Anesthesiology
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361
D. PETER GOLDBERG M.D.
Anesthesiology
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361
DR. CASSANDRA ANN KENNEDY M.D.
Surgery
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-9832
DR. GARY HUNGERFORD BAKER M D
Radiology (Diagnostic Radiology)
3300 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3361

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 St. Joseph Health Northern California, LLC's NPI number?

The NPI number for St. Joseph Health Northern California, LLC is 1144415589. It was assigned to this organization in the NPPES registry on September 10, 2007. The provider is doing business as Providence Redwood Memorial Hospital.

Where is St. Joseph Health Northern California, LLC located?

St. Joseph Health Northern California, LLC is located at 3300 Renner Dr, Fortuna, CA 95540. The listed phone number is (707) 725-3361.

What is St. Joseph Health Northern California, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for St. Joseph Health Northern California, LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.