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SUTTER CENTRAL VALLEY HOSPITALS NPI 1407898265


NPI Information

NPI: 1407898265
Provider Name: SUTTER CENTRAL VALLEY HOSPITALS

Doing Business As: MEMORIAL MEDICAL CENTER OPT PHARMACY

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1800 COFFEE ROAD
STE. 110
MODESTO, CA
ZIP 95355
Phone: (209) 569-7642
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SUTTER CENTRAL VALLEY HOSPITALS is a general acute care hospital in Modesto, CA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SUTTER CENTRAL VALLEY HOSPITALS NPI is 1407898265. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Medical Center Opt Pharmacy.

The provider's business location address is:

1800 COFFEE ROAD
STE. 110
MODESTO, CA
ZIP 95355-803
Phone: (209) 569-7642

The provider's authorized official is Brian Trent Hunter .
The authorized official title is Vp Shared Services and has the following contact phone number (916) 297-8555.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 12/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251F00000XHome InfusionHSP37596CALIFORNIANo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionHSP37596CALIFORNIANo
33336C0003XPharmacyCommunity/Retail PharmacyHSP37596CALIFORNIANo
43336H0001XPharmacyHome Infusion Therapy PharmacyHSP37596CALIFORNIANo
5282N00000XGeneral Acute Care Hospital030000061CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10998490001MEDICARE NSC
2050557OTHERBLUE CROSS
30538009OTHERCALIFORNIANCPDP
4PHB375960MEDICAIDCALIFORNIA
50538009OTHERCALIFORNIANABP
60998490001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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