Organization
SUTTER COAST HOSPITAL
Active
Parent organization
SUTTER COAST HOSPITAL
Other names
Sutter Coast Health Clinic @ Brookings-Harbor
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER COAST HOSPITAL
Authorized official
MITCH HANNA (CEO)
(707) 464-8880
Entity
Organization
Contact information
Practice address
555 5TH ST, BROOKINGS, OR 97415-9730
(541) 469-9205
(541) 469-9204
Mailing address
800 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8359
(707) 464-8511
(707) 464-8886
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227691
—
OR
01
—
840162000
BX REGENCE
OR
01
—
CT3220
RAILROAD RETIRE
—
Enumeration date
08/02/2006
Last updated
10/10/2016
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