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Organization
SUTTER LAKESIDE HOSPITAL
Active
Organization
SUTTER LAKESIDE HOSPITAL
Active
Other names
Sutter Lakeside Hospital Mobile Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SIRI T. NELSON (CHIEF ADMINISTRATIVE OFFICER)
(707) 262-5005
Entity
Organization
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
(707) 262-5005
Mailing address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
(707) 262-5003
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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