Healthcare Provider Details

I. General information

NPI: 1619111416
Provider Name (Legal Business Name): SUTTER HEALTH SACRAMENTO SIERRA REGION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9279 LOCUST
PLYMOUTH CA
95669
US

IV. Provider business mailing address

PO BOX 160100
SACRAMENTO CA
95816-0100
US

V. Phone/Fax

Practice location:
  • Phone: 209-245-6968
  • Fax: 209-256-5515
Mailing address:
  • Phone: 916-978-8873
  • Fax: 916-978-8870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number030000008
License Number StateCA

VIII. Authorized Official

Name: MS. SARAH KREVANS
Title or Position: PRESIDENT
Credential:
Phone: 916-286-6732