JEROLD PHELPS COMMUNITY HOSPITAL SKILLED NURSING FACILITY
NPI 1245458421
Skilled Nursing Facility in Garberville, CA

Active since April 23, 2007CLIA 05D0612023 · Accreditation
733 CEDAR ST, GARBERVILLE, CA 95542(707) 923-3921(707) 923-1456 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 18, 2022, Jul 1, 2021, Mar 22, 2016 (3 updates tracked since 2016).

About Jerold Phelps Community Hospital Skilled Nursing Facility NPPES

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

JEROLD PHELPS COMMUNITY HOSPITAL SKILLED NURSING FACILITY (NPI 1245458421) is a healthcare organization registered as a skilled nursing facility in Garberville, California and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through January 15, 2027 and lists Matthew E Rees, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245458421
Entity TypeOrganization
Primary Taxonomy314000000X
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
Fax(707) 923-1456
Organization SubpartNo
Authorized OfficialMatthew E ReesAdministrator · (707) 923-3921
Enumeration DateApril 23, 2007
Last NPPES UpdateJanuary 18, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1245458421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 110000052
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
733 CEDAR ST, Garberville, CA 95542

Other Names 1

Doing Business AsJerold Phelps Community Hospital Skilled Nursing Facility

Other Identifiers 5

Medicaid272260OR
OtherZZZJ1202ZCA · Blue Shield (hospital)
Medicaid174988AZ
Medicaid3003993WA
OtherLTC55516FCA · Medi-cal Snf

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerold Phelps Community Hospital Skilled Nursing Facility is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

89

Medicare enrollment records show 89 clinicians reassign Medicare billing to Jerold Phelps Community Hospital Skilled Nursing Facility, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Diagnostic Radiology39
Emergency Medicine25
Nurse Practitioner4
Optometry4
Internal Medicine3
Pathology2
Pediatric Medicine2
Physical Therapist in Private Practice2
8 other specialties8

Nearest to this location (20)

See all 89
Nurse Practitioner
NPI 1356878615
733 CEDAR ST
Garberville, CA 95542
(707) 923-3925
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710608336
733 CEDAR ST
Garberville, CA 95542
(707) 923-2779
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1861149254
733 CEDAR ST
Garberville, CA 95542
(707) 923-3921
Same address
Occupational Therapist in Private Practice
NPI 1679319792
733 CEDAR ST
Garberville, CA 95542
(707) 923-3921
Same address
Internal Medicine
NPI 1588754006
509 ELM ST
Garberville, CA 95542
(707) 923-3921
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1477083434
509 ELM ST
Garberville, CA 95542
(707) 923-3921
✔ PECOSSame address
Osteopathic Manipulative Medicine
NPI 1861849283
101 WEST COAST RD
Redway, CA 95560
(707) 923-2783
✔ PECOS1.5 mi
General Practice
NPI 1487973798
HIWGHWAY 162 AND BIGGAR LANE
Covelo, CA 95428
(707) 983-6181
✔ PECOS✔ Accepts Medicare36 mi
Clinical Social Worker
NPI 1700467610
1100 MAIN ST STE F
Fortuna, CA 95540
(707) 497-8744
✔ PECOS✔ Accepts Medicare39 mi
Optometry
NPI 1255176616
630 9TH ST
Fortuna, CA 95540
(707) 725-5144
✔ PECOS✔ Accepts Medicare39 mi
Optometry
NPI 1699709964
630 9TH ST
Fortuna, CA 95540
(707) 725-5144
✔ PECOS39 mi
Emergency Medicine
NPI 1245265966
3534 E STATE HWY 20 STE 4
Nice, CA 95464
(707) 721-4317
✔ PECOS84 mi
Family Practice
NPI 1326493800
1065 BUCKS LAKE RD
Quincy, CA 95971
(530) 283-2121
✔ PECOS✔ Accepts Medicare151 mi
Emergency Medicine
NPI 1285600346
101 BODIN CIR
Travis Afb, CA 94535
(707) 423-3826
✔ PECOS✔ Accepts Medicare160 mi
Diagnostic Radiology
NPI 1235160524
1500 EXPO PKWY
Sacramento, CA 95815
(916) 646-8431
✔ PECOS✔ Accepts Medicare163 mi
Optometry
NPI 1437104502
94B SERRAMONTE CTR
Daly City, CA 94015
(650) 992-8007
✔ PECOS✔ Accepts Medicare182 mi
Nurse Practitioner
NPI 1487153300
1111 N NAGLE ST
Alturas, CA 96101
(530) 708-8820
✔ PECOS✔ Accepts Medicare195 mi
Internal Medicine
NPI 1396128336
4546 EL CAMINO REAL STE B7
Los Altos, CA 94022
(866) 362-4246
✔ PECOS207 mi
Pediatric Medicine
NPI 1033133202
5189 HOSPITAL RD
Mariposa, CA 95338
(209) 966-3631
✔ PECOS✔ Accepts Medicare273 mi
Physical Therapist in Private Practice
NPI 1144086802
5075 RIVER RD N
Keizer, OR 97303
(503) 400-7717
✔ Accepts Medicare340 mi
See all 89 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0612023

Jerold Phelps Community Hospital · Garberville, CA
Active · expires Jan 15, 2027
CLIA Number05D0612023
Laboratory TypeHospital
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorDr. Fangluo Liu
Laboratory Phone(707) 923-3921
Laboratory LocationJerold Phelps Community Hospital733 Cedar St, Garberville, CA 95542
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Southern Humboldt Community Healthcare District's NPI number?

The NPI number for Southern Humboldt Community Healthcare District is 1245458421. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Jerold Phelps Community Hospital Skilled Nursing Facility.

Where is Southern Humboldt Community Healthcare District located?

Southern Humboldt Community Healthcare District is located at 733 Cedar St, Garberville, CA 95542. The listed phone number is (707) 923-3921.

What is Southern Humboldt Community Healthcare District's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Southern Humboldt Community Healthcare District enrolled in Medicare?

Yes. Southern Humboldt Community Healthcare District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Humboldt Community Healthcare District?

According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 16 Medicare specialties reassign their Medicare billing to Southern Humboldt Community Healthcare District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (39), Emergency Medicine (25) and Nurse Practitioner (4). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Humboldt Community Healthcare District hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0612023) is associated with this NPI, valid through January 15, 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 Southern Humboldt Community Healthcare District was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.