Organization
SUTTER MARIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRADLEY (CHIEF EXECUTIVE OFFICER)
(415) 925-7100
Entity
Organization
Contact information
Practice address
180 ROWLAND WAY, NOVATO, CA 94945
(415) 209-1300
(415) 209-1321
Mailing address
PO BOX 1108, NOVATO, CA 94948-1108
(415) 209-1300
(415) 209-1321
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00131G
—
CA
Enumeration date
01/20/2006
Last updated
01/31/2008
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