Organization
SUTTER BAY HOSPITALS
Active
Other names
Sutter West Bay Hospitals
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B. GATES (CFO)
(510) 450-7357
Entity
Organization
Contact information
Practice address
30 MARK WEST SPRINGS ROAD, SANTA ROSA, CA 95403-1707
(707) 576-4331
(707) 576-4318
Mailing address
30 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403-1436
(415) 600-7735
(415) 600-7776
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000005
CA
282N00000X
General Acute Care Hospital
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032556
VACCINES FOR CHILDREN
CA
01
—
D876
PRESUMPTIVE ELIGIBILITY
CA
05
—
HSP40291G
—
CA
05
—
ZZR00291G
—
CA
Enumeration date
08/25/2009
Last updated
04/15/2021
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