Organization
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
Active
Parent organization
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
Other names
Sierra Nevada Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
Authorized official
CAROLYN CANADY (CHIEF FINANCIAL OFFICER)
(530) 274-6099
Entity
Organization
Contact information
Practice address
155 GLASSON WAY, GRASS VALLEY, CA 95945-5723
(530) 274-6000
(530) 274-6614
Mailing address
3215 PROSPECT PARK DR, RANCHO CORDOVA, CA 95670-6017
(916) 861-1102
(916) 861-7707
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
230000152
CA
314000000X
Skilled Nursing Facility
230000152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CGP127135
—
CA
05
—
HSP40150F
—
CA
05
—
MTE00374F
—
CA
05
—
ZZR00150F
—
CA
01
—
ZZZC2905Z
BLUE CROSS OF CA
—
Enumeration date
10/25/2005
Last updated
09/11/2013
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