Provider Demographics
NPI:1811946734
Name:SUTTER VALLEY HOSPITALS
Entity type:Organization
Organization Name:SUTTER VALLEY HOSPITALS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NOAKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-614-4271
Mailing Address - Street 1:2700 GATEWAY OAKS DR STE 2200
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-4337
Mailing Address - Country:US
Mailing Address - Phone:916-887-4500
Mailing Address - Fax:
Practice Address - Street 1:2825 CAPITOL AVENUE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5616
Practice Address - Country:US
Practice Address - Phone:916-887-4500
Practice Address - Fax:916-887-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QI0500X, 282N00000X
CA030000102282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSP40108FMedicaid
CAZZR00108FMedicaid
CAHSC00108FMedicaid
CAHSP40108FMedicaid
CA059809Medicare Oscar/Certification