Organization
SUTTER BUTTES IMAGING MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ART HEALY (PRACTICE ADMINISTRATOR)
(530) 671-8564
Entity
Organization
Contact information
Practice address
945 SHASTA ST, YUBA CITY, CA 95991-4114
(530) 671-8564
(530) 671-8592
Mailing address
945 SHASTA ST, YUBA CITY, CA 95991-4114
(530) 671-8564
(530) 671-8592
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ72907Z
MEDICARE ID
—
05
—
ZZZ72907Z
—
CA
01
—
ZZZ72933Z
MEDIARE ID
—
05
—
ZZZ72933Z
—
CA
Enumeration date
01/04/2006
Last updated
03/04/2008
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