Organization
SUTTER EAST BAY HOSPITALS
Active
Other names
Alta Bates Summit Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GATES (CFO SHBA)
(510) 450-7357
Entity
Organization
Contact information
Practice address
2001 DWIGHT WAY, BERKELEY, CA 94704-2608
(510) 204-4444
Mailing address
PO BOX 742920, LOS ANGELES, CA 90074-2920
(855) 398-1633
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
140000004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC00305F
—
CA
05
—
ZZR000305F
—
CA
Enumeration date
10/19/2006
Last updated
04/21/2016
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