{
"Npi": {
"NPI": "1023997905",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUTTER VALLEY HOSPITALS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 619092",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROSEVILLE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95661-9092",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "916-297-9877",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "801 W L ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOS BANOS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93635-3953",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "209-710-6333",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/27/2025",
"LastUpdateDate": "08/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRAIG",
"AuthorizedOfficialFirstName": "KURT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "COMPLIANCE OFFICER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "209-923-5099",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}