Organization
SUTTER EAST BAY HOSPITALS
Active
Other names
Alta Bates Summit Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GATES (REGIONAL CFO)
(415) 600-7755
Entity
Organization
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 655-4000
(916) 503-6982
Mailing address
PO BOX 742920, LOS ANGELES, CA 90074-2920
(916) 297-8606
(916) 503-6982
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
140000284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-T043
MEDICARE
—
Enumeration date
07/15/2014
Last updated
01/20/2022
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