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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