Provider Demographics
NPI:1417987751
Name:SUTTER VALLEY HOSPITALS
Entity Type:Organization
Organization Name:SUTTER VALLEY HOSPITALS
Other - Org Name:SUTTER HEALTH SACRAMENTO SIERRA REGION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONFORTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-887-7040
Mailing Address - Street 1:11775 EDUCATION ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-2453
Mailing Address - Country:US
Mailing Address - Phone:530-886-6650
Mailing Address - Fax:530-886-6651
Practice Address - Street 1:11775 EDUCATION ST
Practice Address - Street 2:SUITE 201
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2453
Practice Address - Country:US
Practice Address - Phone:530-886-6650
Practice Address - Fax:530-886-6651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA55-7292Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER