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
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
(707) 262-5003
Mailing address
PO BOX 742412, LOS ANGELES, CA 90074-2412
(415) 600-7120
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
110000094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RKY13994F
—
CA
Enumeration date
09/08/2009
Last updated
01/20/2022
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