Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
Other names
Sutter Davis Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WAGNER (CHIEF ADMINISTRATIVE OFFICER)
(530) 757-5108
Entity
Organization
Contact information
Practice address
2000 SUTTER PL, DAVIS, CA 95616-6201
(530) 756-6440
Mailing address
2000 SUTTER PL, DAVIS, CA 95616-6201
(530) 756-6440
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0613795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609812213
MEDI-CAL
CA
Enumeration date
06/21/2006
Last updated
01/07/2022
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