Organization
SUTTER EAST BAY HOSPITALS
Active
Other names
Alta Bates Summit Medical Center - Ashby
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GATES (VP SHBA)
(916) 297-8453
Entity
Organization
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-1682
Mailing address
PO BOX 742920, LOS ANGELES, CA 90074-2920
(855) 398-1633
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
14000004
CA
291U00000X
Clinical Medical Laboratory
140000004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00305F
—
CA
05
—
HSP40305F
—
CA
05
—
ZZR00305F
—
CA
Enumeration date
10/19/2005
Last updated
04/21/2016
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