Healthcare Provider Details
I. General information
NPI: 1053654434
Provider Name (Legal Business Name): SUTTER VALLEY HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2013
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7000 FRANKLIN BLVD STE 1020
SACRAMENTO CA
95823-1838
US
IV. Provider business mailing address
7000 FRANKLIN BLVD STE 1020
SACRAMENTO CA
95823-1838
US
V. Phone/Fax
- Phone: 916-424-8412
- Fax: 916-494-3484
- Phone: 916-424-8412
- Fax: 916-494-3484
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302R00000X |
| Taxonomy | Health Maintenance Organization |
| License Number | 030000453 |
| License Number State | CA |
VIII. Authorized Official
Name:
JAMES
E.
CONFORTI
Title or Position: PRESIDENT
Credential:
Phone: 916-887-7040