Organization
SUTTER MEDICAL CENTER OF SANTA ROSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVERY SCHLESENBERG (CFO)
(707) 576-4009
Entity
Organization
Contact information
Practice address
3325 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 576-4000
(707) 573-7364
Mailing address
3325 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 576-4000
(707) 573-7364
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSM00291G
—
CA
Enumeration date
05/09/2007
Last updated
08/22/2020
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