Provider Demographics
NPI:1972754216
Name:YUBA SUTTER HOSPITALIST GROUP
Entity Type:Organization
Organization Name:YUBA SUTTER HOSPITALIST GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:GERVING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-924-4330
Mailing Address - Street 1:PO BOX 1177
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95992-1177
Mailing Address - Country:US
Mailing Address - Phone:972-924-4330
Mailing Address - Fax:
Practice Address - Street 1:726 4TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-5656
Practice Address - Country:US
Practice Address - Phone:972-924-4330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty