Organization
SUTTER LAKESIDE HOSPITAL
Active
Parent organization
SUTTER LAKESIDE HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER LAKESIDE HOSPITAL
Authorized official
KELLY MATHER (CEO)
(707) 262-5001
Entity
Organization
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
(707) 262-5018
Mailing address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
(707) 262-5018
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
CA
Other
Enumeration date
08/11/2006
Last updated
08/14/2008
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