Organization
SUTTER LAKESIDE HOSPITAL
Active
Other names
Sutter Lakeside Hospital Mobile Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SIRI T. NELSON (CHIEF ADMINISTRATIVE OFFICER)
(707) 262-5005
Entity
Organization
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
(707) 262-5005
Mailing address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
(707) 262-5003
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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