SUTTER VALLEY MEDICAL FOUNDATION (NPI# 1831467653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831467653 |
| Entity Type | Organization |
| Organization Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER MEDICAL FOUNDATION PLYMOUTH HEALTH CENTER |
| Practice Address |
9279 Locust Street Plymouth CA 95669 |
| Mailing Address |
P.o. Box 255228 Sacramento CA 95825 |
| Practice Telephone | 2092456968 |
| Practice Fax Number | 2092455135 |
| Mailing Telephone | 8666810736 |
| Mailing Fax Number | 9164546987 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | KRISTIN L. HALLMARK (DIRECTOR, PHYSICIAN SERVICES) |
| Authorized Official Telephone | 9168877312 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sutter Medical Foundation Plymouth Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154777431 | Sutter Valley Medical Foundation | Clinical Medical Laboratory | 8 Medical Plaza Dr., 300, Roseville, CA 95661 | 2016-05-05 |
| 1174997407 | Sutter Valley Medical Foundation | Radiology | 2995 American River Ln, Las Vegas, NV 89135-1713 | 2015-11-24 |
| 1972877264 | Sutter Valley Medical Foundation | Clinic/Center | 8200 Laguna Blvd, Elk Grove, CA 95758-7956 | 2012-03-04 |
| 1225363567 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 11930 Heritage Oak Pl Ste 8and9, Auburn, CA 95603-2458 | 2009-10-05 |
| 1770688129 | Sutter Valley Medical Foundation | Clinical Medical Laboratory | 1625 Stockton Blvd Ste 208, Sacramento, CA 95816-7092 | 2006-09-13 |
| 1952327256 | Sutter Valley Medical Foundation | Family Medicine | 2700 Gateway Oaks Dr, Sacramento, CA 95833-4337 | 2006-07-14 |
| 1144700436 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 770 Mason St, Vacaville, CA 95688-4646 | 2018-08-16 |
| 1053891341 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 2702 Low Ct, Fairfield, CA 94534-9771 | 2018-08-16 |
| 1477912517 | Sutter Valley Medical Foundation | Surgery | 924 S Fairmont Ave, Lodi, CA 95240-5119 | 2016-02-17 |
| 1386003424 | Sutter Valley Medical Foundation | Surgery | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2016-02-17 |
| Street Address |
9279 LOCUST STREET |
| City | PLYMOUTH |
| State | CA |
| Zip Code | 95669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730408584 | Connie Mckenna | Acupuncturist | 9339 Main St., Plymouth, CA 95669 | 2010-05-19 |
| 1053595272 | Kenneth L. Curry | Dentist | 9449 Landrum St, Plymouth, CA 95669 | 2007-12-24 |
| 1801907308 | Daniel J Fields | Family Medicine | 9279 Locust, Plymouth, CA 95669 | 2006-08-31 |
| 1013928605 | Pokerville Drug | Pharmacy | 18170 Hwy 49, Suite A, Plymouth, CA 95669 | 2006-08-10 |
| 1184633935 | Kelly Elizabeth Graver Pate | Physician Assistant | 9279 Locust St., Jackson, CA 95669 | 2006-08-07 |
| 1912472002 | Robert Michael Negrete | Physical Therapist | 4001 Ca-104, Specialty Clinic - Physical Therapy, Plymouth, CA 95669 | 2018-10-04 |
| 1285098848 | Anastasia Collins | Family Medicine | 9279 Locust St., Plymouth, CA 95669 | 2016-04-11 |
| 1619111416 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 9279 Locust, Plymouth, CA 95669 | 2009-04-23 |
| 1902929912 | Patricia Sullivan | Nurse Practitioner | 9279 Locust, Plymouth, CA 95669 | 2007-04-06 |
| 1518281369 | Sonja Eloise Wall | Registered Nurse | 18250 Latrobe Rd, Plymouth, CA 95669-9717 | 2010-03-23 |
| Find all providers in zip 95669 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502818 | Centennial Housing & Community Services Corporation | Clinic/Center | 795 Us Highway 64 E, Plymouth, NC 27962-9314 | 2020-09-15 |
| 1427682640 | Williamston Hospital Corporation | Clinic/Center | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2020-02-26 |
| 1326587635 | Speare Memorial Hospital | Clinic/Center | 71 Highland St, Plymouth, NH 03264-1233 | 2017-02-20 |
| 1104153535 | Speare Memorial Hospital | Clinic/Center | 103 Boulder Point Drive, Plymouth, NH 03264-3168 | 2009-11-05 |
| 1962650762 | Cah Acquisition Company 1 LLC | Clinic/Center | 1006 Us Highway 64 E, Plymouth, NC 27962 | 2008-09-04 |
| 1720290794 | Cah Acquisition Company # 1 | Clinic/Center | 1006 Us Hwy 64 East, Plymouth, NC 27962-9215 | 2007-05-04 |
| 1437291515 | Speare Memorial Hospital | Clinic/Center | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2007-02-13 |
| 1841342540 | Speare Memorial Hospital | Clinic/Center | 103 Boulder Point Drive, Plymouth, NH 03264 | 2007-01-16 |
| 1821038837 | Cah Acquisition Company 1 LLC | Clinic/Center | 1006 Us Highway 64 E, Plymouth, NC 27962-9215 | 2006-06-07 |
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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.