Organization
SUTTER CREEK OB ANESTHESIA SERVICES, A PROFESSIONAL NURSING CORPORATIO
Active
Other names
Sutter Creek OB Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MCCULLEY (ADMINISTRATOR)
(888) 270-0340
Entity
Organization
Contact information
Practice address
7500 TIMBERLAKE WAY, METHODIST HOSPITAL, SACRAMENTO, CA 95823
(916) 423-3000
Mailing address
PO BOX 966, SUTTER CREEK, CA 95685-0966
(888) 270-0340
(888) 270-0331
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRN000080
—
CA
01
—
ZZZ05546Z
BLUE SHIELD
CA
Enumeration date
10/17/2006
Last updated
01/25/2011
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