# SUTTER TRACY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043291164
- **Authorized official:** MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
- **Authorized official phone:** (916) 297-8555

## Contact information

- **Practice address:** 1420 N TRACY BLVD, TRACY, CA 95376-3451
- **Practice address phone:** (209) 835-1500
- **Mailing address:** PO BOX 740152, LOS ANGELES, CA 90074-0152
- **Mailing address phone:** (855) 398-1633
- **Mailing address fax:** (209) 572-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0300000105 | CA | Yes |
| 282N00000X | General Acute Care Hospital | 030000105 | CA | — |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 12/02/2013