Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
Other names
Sutter Roseville Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK R BRADY (CHIEF EXECUTIVE OFFICER)
(916) 781-1201
Entity
Organization
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1000
(916) 781-1210
Mailing address
PO BOX 160727, SACRAMENTO, CA 95816-0727
(916) 733-8306
(906) 733-8396
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0683935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225077225
MEDI-CAL
CA
Enumeration date
06/05/2006
Last updated
12/06/2021
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