SUTTER VALLEY HOSPITALS (NPI# 1164794012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164794012 |
Entity Type | Organization |
Organization Name | SUTTER VALLEY HOSPITALS |
Other Organization Name | SUTTER HEALTH SACRAMENTO SIERRA REGION |
Practice Address |
100 Mission Blvd Jackson CA 95642-2536 |
Mailing Address |
Po Box 160100 Sacramento CA 95816-0100 |
Practice Telephone | 2092237540 |
Practice Fax Number | 2092237543 |
Mailing Telephone | 8003533369 |
Enumeration Date | 2012-02-07 |
Last Update Date | 2016-11-16 |
Authorized Official Name | JAMES CONFORTI (PRESIDENT & CEO) |
Authorized Official Telephone | 9168877040 |
Is Organization Subpart | Y |
Parent Organization Name | SUTTER HEALTH SACRAMENTO SIERRA REGION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
Other Name | Type Code |
---|---|
Sutter Health Sacramento Sierra Region | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053654434 | Sutter Valley Hospitals | Health Maintenance Organization | 7000 Franklin Blvd Ste 1020, Sacramento, CA 95823-1838 | 2013-04-03 |
1417987751 | Sutter Valley Hospitals | Home Health | 11775 Education St, Suite 201, Auburn, CA 95602-2453 | 2006-07-03 |
1932148947 | Sutter Valley Hospitals | Clinical Medical Laboratory | 2825 Capitol Ave, Sacramento, CA 95816-6039 | 2006-06-05 |
1952350944 | Sutter Valley Hospitals | Psychiatric Hospital | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2006-05-08 |
1811946734 | Sutter Valley Hospitals | General Acute Care Hospital | 2825 Capitol Avenue, Sacramento, CA 95616-5616 | 2006-05-08 |
1821442864 | Sutter Valley Hospitals | General Acute Care Hospital | 1420 N Tracy Blvd, Tracy, CA 95376-3451 | 2016-04-15 |
1912351958 | Sutter Valley Hospitals | Home Infusion | 1800 Coffee Rd, Suite 110, Modesto, CA 95355-2705 | 2016-04-15 |
1699129601 | Sutter Valley Hospitals | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2016-04-15 |
1366896300 | Sutter Valley Hospitals | General Acute Care Hospital | 520 W I St, Los Banos, CA 93635-3419 | 2016-04-15 |
1487017471 | Sutter Valley Hospitals | Clinic/Center | 1253 W I St, Los Banos, CA 93635-3930 | 2016-03-29 |
Street Address |
100 MISSION BLVD |
City | JACKSON |
State | CA |
Zip Code | 95642-2536 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790777662 | Robert Ellsworth Young II | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2005-08-17 |
1508209909 | Surgical Affiliates of California, Inc. | Clinic/Center | 100 Mission Blvd, Suite B116, Jackson, CA 95642-2536 | 2013-04-16 |
1033499215 | April Michelle Boitano | Advanced Practice Midwife | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2011-08-19 |
1497058473 | Maureen Patricia Mooney-michels | Dietitian, Registered | 100 Mission Blvd, Outpatient Diabetes Education Program, Jackson, CA 95642-2536 | 2010-12-13 |
1295053833 | Aye Myat Moe | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2536 | 2010-05-06 |
1861644635 | Melanie M Trowbridge | Psychologist | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-10-10 |
1760657720 | Yosemite Pathology Medical Group, Inc | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2008-04-29 |
1679742951 | Rachel F Clay | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-02-21 |
1134293459 | Amy A. Appleton | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642 | 2006-11-20 |
1477656932 | Vikram Ramkumar Kumar | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2534 | 2006-09-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922616168 | Quest Diagnostics | Clinical Medical Laboratory | 14590 State Route 93 Ste A, Jackson, OH 45640-8977 | 2020-07-14 |
1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
1134699945 | Executive Diagnostics LLC | Clinical Medical Laboratory | 5455 Executive Pl Ste B, Jackson, MS 39206-4104 | 2018-12-05 |
1174028856 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1100 E Michigan Ave Ste 104, Jackson, MI 49201-1800 | 2018-03-26 |
1649775495 | W. A. Foote Memorial Hospital, Inc. | Clinical Medical Laboratory | 1201 E Michigan Ave Ste 115, Jackson, MI 49201-1852 | 2018-03-26 |
1881064772 | Apple Pharmaceuticals & Healthcare Services, LLC | Clinical Medical Laboratory | 115 Riley Dr, Jackson, MS 39209-2595 | 2015-10-05 |
1508069824 | Transsouth Health Care PC | Clinical Medical Laboratory | 14 Weatherford Sq, Jackson, TN 38305 | 2007-06-06 |
1316084015 | Medical Genetics Lab | Clinical Medical Laboratory | 2500 N State St Dept Cgen, Room R622, Jackson, MS 39216-4500 | 2007-01-31 |
1356374912 | Dermatopathology Associates, Pllc | Clinical Medical Laboratory | 3120 Old Canton Rd, Jackson, MS 39216 | 2006-07-08 |
1760469076 | Garcia Clinical Laboratory Inc | Clinical Medical Laboratory | 2195 Spring Arbor Rd, Jackson, MI 49203-2797 | 2005-12-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.