Healthcare Provider Details

I. General information

NPI: 1821171877
Provider Name (Legal Business Name): SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8318 FERGUSON AVE
SACRAMENTO CA
95828-0902
US

IV. Provider business mailing address

5099 COMMERCIAL CIR STE 208
CONCORD CA
94520-1374
US

V. Phone/Fax

Practice location:
  • Phone: 916-379-3200
  • Fax: 866-932-7052
Mailing address:
  • Phone: 855-771-0328
  • Fax: 707-863-9043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number45066
License Number StateCA

VIII. Authorized Official

Name: MARK K MCPHERSON
Title or Position: PRESIDENT (CEO)
Credential:
Phone: 855-771-0328