Organization
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
Active
Parent organization
SIERRA NEVADA MEMORIAL-MINERS HOSPITAL
Other names
Sierra Nevada Maternal Health Center
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
150 CATHERINE LN, GRASS VALLEY, CA 95945-5719
(530) 274-6175
(530) 274-6234
Mailing address
155 GLASSON WAY, GRASS VALLEY, CA 95945-5723
(530) 274-6000
(530) 274-6234
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
230000152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CGP127135
—
CA
05
—
GR0051930
—
CA
05
—
HSP40150F
—
CA
05
—
ZZR00150F
—
CA
01
—
ZZZC2905Z
BLUE SHIELD OF CA
—
Enumeration date
11/01/2006
Last updated
09/23/2013
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