Organization
ALTA BATES SUMMIT MEDICAL CENTER
Active
Organization
ALTA BATES SUMMIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
(916) 297-8555
Entity
Organization
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 869-6987
Mailing address
PO BOX 742920, LOS ANGELES, CA 90074-2920
(855) 398-1633
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
140000004
CA
283Q00000X
Psychiatric Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM00305F
—
CA
Enumeration date
03/01/2007
Last updated
12/03/2013
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