Provider Demographics
NPI:1336939966
Name:REDWOOD GOSPEL MISSIONS
Entity type:Organization
Organization Name:REDWOOD GOSPEL MISSIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GUEST SERVICES MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CROSSLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-679-8375
Mailing Address - Street 1:PO BOX 493
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95402-0493
Mailing Address - Country:US
Mailing Address - Phone:707-578-1830
Mailing Address - Fax:707-578-4841
Practice Address - Street 1:101 6TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-6218
Practice Address - Country:US
Practice Address - Phone:707-542-4187
Practice Address - Fax:707-544-6185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management