# SUTTER AMADOR SURGERY CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Sutter Amador Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033453311
- **Authorized official:** MR. WILLIAM D. DAVIS (BOARD CHAIRMAN)
- **Authorized official phone:** (916) 286-8202

## Contact information

- **Practice address:** 223 CLINTON RD, STE 204, JACKSON, CA 95642-2680
- **Practice address phone:** (209) 223-5938
- **Practice address fax:** (209) 257-1599
- **Mailing address:** 223 CLINTON RD, STE 204, JACKSON, CA 95642-2680
- **Mailing address phone:** (209) 223-5938
- **Mailing address fax:** (209) 257-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2012
- **Last updated:** 11/26/2012