SUTTER AMADOR TCU (NPI# 1558445338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558445338 |
| Entity Type | Organization |
| Organization Name | SUTTER AMADOR TCU |
| Practice Address |
200 Mission Blvd Jackson CA 95642-2564 |
| Mailing Address |
Po Box 160100 Sacramento CA 95816-0100 |
| Practice Telephone | 8003533369 |
| Mailing Telephone | 8003533369 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | MARGIE SOUZA (CBO DIRECTOR) |
| Authorized Official Telephone | 9169788701 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER AMADOR HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
200 MISSION BLVD |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180320 | Mark Noel Forrette | Nurse Practitioner | 200 Mission Blvd, Jackson, CA 95642-2564 | 2005-11-11 |
| 1801374434 | Hospitalist Medicine Physicians of California - Jackson, PC | Internal Medicine | 200 Mission Blvd, Jackson, CA 95642-2564 | 2018-08-06 |
| 1336525609 | Michelle Ann Wong | Physician Assistant | 200 Mission Blvd, 1st Floor, Jackson, CA 95642-2564 | 2015-08-10 |
| 1932440781 | Surgical Affiliates of California | Surgery | 200 Mission Blvd, Jackson, CA 95642-2564 | 2013-03-04 |
| 1720384589 | Kim Marie Vagt | Dietitian, Registered | 200 Mission Blvd, Jackson, CA 95642-2564 | 2011-01-26 |
| 1063714517 | Mary Michelle Vanfossan | Dietitian, Registered | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-12-03 |
| 1568779072 | Krystin Granger | Anesthesiology | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-09-03 |
| 1629396122 | Harkanwal Singh | Hospitalist | 200 Mission Blvd, Jackson, CA 95642-2564 | 2010-05-07 |
| 1821322215 | Radiological Associates of Sacramento Medical Group Inc | Internal Medicine | 200 Mission Blvd, Jackson, CA 95642-2564 | 2009-10-01 |
| 1447494323 | Sutter Valley Hospitals | General Acute Care Hospital | 200 Mission Blvd, Jackson, CA 95642-2564 | 2009-04-23 |
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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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| 1073588034 | Carelink of Jackson, A Community-owned Specialty Hospital | General Acute Care Hospital | 110 N. Elm Avenue, Jackson, MI 49202-3595 | 2006-02-22 |
| 1760921894 | University of Mississippi Medical Center | General Acute Care Hospital | 764 Lakeland Dr, 2nd Floor, Jackson, MS 39216-4651 | 2017-02-22 |
| 1629475348 | Mallory Miller | General Acute Care Hospital | 620 Skyline Dr, Jackson, TN 38301-3923 | 2014-11-24 |
| 1861833535 | University Hospital | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2013-07-10 |
| 1730480120 | Mississippi Baptist Medical Center, Inc. | General Acute Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2010-11-16 |
| 1497068639 | W.a. Foote Memorial Hospital | General Acute Care Hospital | 205 N East Ave, 7th Floor One Jackson Square, Jackson, MI 49201-1753 | 2010-07-16 |
| 1538472964 | The University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2010-07-14 |
| 1033349501 | University of Mississipi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-20 |
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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.