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Organization
SUTTER WEST BAY HOSPITALS
Active
Organization
SUTTER WEST BAY HOSPITALS
Active
Other names
Lakeside Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GATES (CFO)
(415) 600-7771
Entity
Organization
Contact information
Practice address
5176 HILL RD E, MODULAR BUILDING, LAKEPORT, CA 95453-6300
(707) 262-5088
(707) 262-5135
Mailing address
633 FOLSOM ST 7TH FLOOR, SAN FRANCISCO, CA 94107-3600
(415) 600-7735
(415) 600-7776
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/12/2014
Last updated
01/20/2022
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