SUTTER VALLEY HOSPITALS (NPI# 1699129601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699129601 |
Entity Type | Organization |
Organization Name | SUTTER VALLEY HOSPITALS |
Other Organization Name | MEMORIAL MEDICAL CENTER |
Practice Address |
1700 Coffee Rd Modesto CA 95355-2803 |
Mailing Address |
2700 Gateway Oaks Dr Suite 2200 Sacramento CA 95833-4337 |
Practice Telephone | 2095727134 |
Practice Fax Number | 2095697417 |
Mailing Telephone | 9168877040 |
Mailing Fax Number | 9168877041 |
Enumeration Date | 2016-04-15 |
Last Update Date | 2017-05-01 |
Authorized Official Name | PAIGE A. TERRA (CFO) |
Authorized Official Telephone | 9168877050 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | Hospitals |
Other Name | Type Code |
---|---|
Memorial Medical Center | Doing Business As 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 |
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 |
1164794012 | Sutter Valley Hospitals | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2012-02-07 |
Street Address |
1700 COFFEE RD |
City | MODESTO |
State | CA |
Zip Code | 95355-2803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629059746 | Sutter Central Valley Hospitals | Clinical Medical Laboratory | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2005-11-07 |
1356962732 | Nicole Laura | Physical Therapist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-04-27 |
1275153314 | Christopher Lucas | Pharmacist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-04-18 |
1366077323 | Nicole Kathleen Boere | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-03-10 |
1235770165 | P. Curly Johnson | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-10-02 |
1932758596 | Samantha Megan Allen | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-09-06 |
1215592324 | Brittany Henson | Physical Therapist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-05-03 |
1306317987 | Jacob John Verhoeven | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-12-08 |
1164992277 | Jessica Chan | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-12-01 |
1851875397 | John Paul Blanchard | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-09-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
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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 |
---|---|---|---|---|
1164768982 | O & D Surgical and Medical Solutions Inc. | General Acute Care Hospital | 140 East Grager Avenue, Suite B, Modesto, CA 95350-4347 | 2012-12-26 |
1891046892 | Doctors Medical Center | General Acute Care Hospital | 3032 Montgomery Ln, Modesto, CA 95355-7997 | 2012-10-01 |
1962710954 | Tammy Elkins, Phd | General Acute Care Hospital | 802 14th St Ste G, Modesto, CA 95354-1029 | 2010-09-23 |
1386775021 | Jacqueline Parker | General Acute Care Hospital | 405 Ramsey Dr, Modesto, CA 95356-1778 | 2007-03-07 |
1245368653 | A.whitebread Rnfa | General Acute Care Hospital | 1702 Sandalwood Dr, Modesto, CA 95350-3819 | 2007-02-28 |
1760532758 | Employee Assistance Program | General Acute Care Hospital | 1316 Celeste Dr, 220, Modesto, CA 95355-2434 | 2007-01-11 |
1437121886 | Stanislaus Surgical Hospital LLC | General Acute Care Hospital | 1421 Oakdale Rd, Modesto, CA 95355-3359 | 2006-02-01 |
1346621349 | Sutter Health | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2015-06-16 |
1659712586 | Hospitalists of Modesto Medical Group | General Acute Care Hospital | 1441 Florida Ave, Hospitalists of Modesto Medical Group, Modesto, CA 95350-4404 | 2013-07-08 |
1356687735 | Central Valley Perfusion, Inc | General Acute Care Hospital | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-12-12 |
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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.