# SUTTER CENTRAL VALLEY HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629059746
- **Authorized official:** JOHN GATES (CFO SHBA)
- **Authorized official phone:** (510) 450-7357

## Contact information

- **Practice address:** 1700 COFFEE RD, MODESTO, CA 95355-2803
- **Practice address phone:** (209) 526-4500
- **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 | 030000061 | CA | Yes |
| 291U00000X | Clinical Medical Laboratory | 05D0609849 | CA | — |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 04/21/2016