# ALTA BATES SUMMIT MEDICAL CENTER

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

## Provider details

- **NPI number:** 1922140771
- **Authorized official:** MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
- **Authorized official phone:** (916) 297-8555

## Contact information

- **Practice address:** 2450 ASHBY AVE, BERKELEY, CA 94705-2067
- **Practice address phone:** (510) 869-8244
- **Mailing address:** PO BOX 742920, LOS ANGELES, CA 90074-2920
- **Mailing address phone:** (855) 398-1633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 140000004 | CA | — |
| 282N00000X | General Acute Care Hospital | — | CA | Yes |
| 291U00000X | Clinical Medical Laboratory | 140000004 | CA | — |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 12/02/2013