MEDICARE: SUTTER VALLEY HOSPITALS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1023997905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUTTER VALLEY HOSPITALS

Provider Business Mailing Address
First Line	:	PO BOX 619092
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-9092
Country	:	US
Telephone Number	:	916-297-9877
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 W L ST
Second Line	:
City	:	LOS BANOS
State	:	CA
Zip	:	93635-3953
Country	:	US
Telephone Number	:	209-710-6333
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE OFFICER
Name	:	KURT CRAIG
Credential	:
Telephone Number	:	209-923-5099

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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Directions to “SUTTER VALLEY HOSPITALS ” Practice Location

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