Organization
SUTTER HEALTH SACRAMENTO SIERRA REGION
Active
Other names
Sutter Auburn Faith Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CONFORTI (PRESIDENT)
(916) 887-7040
Entity
Organization
Contact information
Practice address
11815 EDUCATION ST, AUBURN, CA 95602-2410
(530) 888-4557
(530) 888-6611
Mailing address
PO BOX 619092, ROSEVILLE, CA 95661-9092
(915) 297-8079
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0644110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790720993
MEDI-CAL
CA
Enumeration date
06/19/2006
Last updated
01/07/2022
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