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Organization
SUTTER EAST BAY HOSPITALS
Active
Organization
SUTTER EAST BAY HOSPITALS
Active
Other names
Alta Bates Summit Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GATES (REGIONAL CFO)
(415) 600-7755
Entity
Organization
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 655-4000
(916) 503-6982
Mailing address
PO BOX 742920, LOS ANGELES, CA 90074-2920
(916) 297-8606
(916) 503-6982
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
140000284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-T043
MEDICARE
—
Enumeration date
07/15/2014
Last updated
01/20/2022
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