Organization
SUTTER MEDICAL CENTER OF SANTA ROSA TCU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J COHILL (CEO)
(707) 576-4203
Entity
Organization
Contact information
Practice address
3325 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 576-4405
(707) 576-4318
Mailing address
3325 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 576-4405
(707) 576-4318
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR00291
—
CA
Enumeration date
03/09/2006
Last updated
08/22/2020
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