SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
NPI 1336367515
Clinic/Center - Rural Health in Garberville, CA
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
Specialties & Licenses
Other Names 2
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Humboldt Community Healthcare District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
89Medicare enrollment records show 89 clinicians reassign Medicare billing to Southern Humboldt Community Healthcare District, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 89Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Southern Humboldt Community Healthcare District · NPI 1336367515
Rural Health organization in Garberville, California. Organization record, active in the CMS NPPES registry since April 23, 2007.
## Identity
- **NPI:** 1336367515 (Entity type: Organization)
- **Enumerated:** April 23, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Southern Humboldt Community Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Susan Gardner, MED STAFF COORDINATOR
## Practice location
- **Address:** 509 ELM ST, Garberville, CA 95542-3204
- **Phone:** (707) 923-3921 · **Fax:** (707) 923-1456
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 89 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (39), Emergency Medicine (25), Nurse Practitioner (4); 6 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1336367515/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2021
- **Other identifiers:** Medicaid 174988 (AZ); Medicaid 272260 (OR); Medicaid 3003993 (WA); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1336367515) · Data from the CMS NPPES public registry.