Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital South Sacramento
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA M RODRIGUEZ (SENIOR VICE PRESIDENT, AREA MANAGER)
(916) 688-6770
Entity
Organization
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
030000228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050674B000000
SECTION 1011-DHS
CA
01
—
339040911
USDOL
CA
01
—
50674
BLUE CROSS OF CA
CA
05
—
HSP30674F
—
CA
05
—
HSP40674F
—
CA
01
—
ZZZA3409Z
BLUE SHIELD OF CA
CA
Enumeration date
11/09/2006
Last updated
04/28/2021
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