Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
Parent organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Other names
Sutter Dialysis South
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER HEALTH SACRAMENTO SIERRA REGION
Authorized official
MARGIE SOUZA (CBO DIRECTOR)
(916) 978-8701
Entity
Organization
Contact information
Practice address
7200 S LAND PARK DR, SACRAMENTO, CA 95831-3612
(800) 353-3369
Mailing address
PO BOX 160100, SACRAMENTO, CA 95816-0100
(800) 353-3369
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
030000102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02383F
—
CA
05
—
HSP40108F
—
CA
Enumeration date
05/11/2006
Last updated
01/07/2022
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