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	282N00000X	General Acute Care Hospital	030000083	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356390264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUTTER VALLEY HOSPITALS

Provider Business Mailing Address
First Line	:	PO BOX 160100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-0100
Country	:	US
Telephone Number	:	800-353-3369
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL PLAZA DR
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3037
Country	:	US
Telephone Number	:	800-353-3369
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JAMES E. CONFORTI
Credential	:
Telephone Number	:	916-887-7040

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	12/06/2021

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Directions to “SUTTER VALLEY HOSPITALS ” Practice Location

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