Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
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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