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SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
NPI 1336367515
Clinic/Center - Rural Health in Garberville, CA

Active since April 23, 2007
509 ELM 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, Oct 9, 2018, Mar 22, 2016 (3 updates tracked since 2016).

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 1336367515), doing business as Southern Humboldt Community Hospital District, is a healthcare organization registered as a rural health in Garberville, California and active in the NPI registry since April 2007. The organization lists Susan Lee Gardner, Med Staff Coordinator, as its authorized official.

NPPES Registry Identity

NPI1336367515
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
Location Address509 ELM STGarberville, CA 95542-3204
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 DateApril 23, 2007
Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1336367515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in CA · 110000052
509 ELM ST, Garberville, CA 95542
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Other Names 2

Former Legal Business NameSouthern Humboldt Community Hospital District
Doing Business AsSouthern Humboldt Community Clinic

Other Identifiers 5

Medicaid174988AZ
Medicaid272260OR
Medicaid3003993WA
OtherRHM03921GCA · Medi-cal
OtherZZZ05354ZCA · Blue Shield Clinic

Other Providers at the Same Location NPPES 4

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

MARCIN MATUSZKIEWICZ MD
Family Medicine
509 ELM ST
GARBERVILLE, CA 95542
Humboldt County (707) 923-3925
ADVENTIST HEALTH PHYSICIANS NETWORK
Clinic/Center (Multi-Specialty)
509 ELM ST
GARBERVILLE, CA 95542
Humboldt County (707) 463-2400
MRS. TARA HUFF MSW
Social Worker (Clinical)
509 ELM ST
GARBERVILLE, CA 95542
Humboldt County (707) 923-3921
DR. TIFFANY M. ORDONEZ M.D.
Internal Medicine
509 ELM ST
GARBERVILLE, CA 95542
Humboldt County (707) 923-3921

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 1336367515. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Southern Humboldt Community Clinic. The provider was formerly known as Southern Humboldt Community Hospital District.

Where is Southern Humboldt Community Healthcare District located?

Southern Humboldt Community Healthcare District is located at 509 Elm 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 Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Southern Humboldt Community Healthcare District was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.