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SUTTER VALLEY MEDICAL FOUNDATION NPI 1477912517


NPI Information

NPI: 1477912517
Provider Name: SUTTER VALLEY MEDICAL FOUNDATION

Doing Business As: SUTTER GOULD MEDICAL FOUNDATION

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 05D0706846

Address:
924 S FAIRMONT AVE
LODI, CA
ZIP 95240
Phone: (209) 334-2590
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SUTTER VALLEY MEDICAL FOUNDATION is a durable medical equipment medical supplies in Lodi, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SUTTER VALLEY MEDICAL FOUNDATION NPI is 1477912517. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sutter Gould Medical Foundation.

The provider's business location address is:

924 S FAIRMONT AVE
LODI, CA
ZIP 95240-119
Phone: (209) 334-2590

The provider's authorized official is Krista Lopes .
The authorized official title is Sh Vp, Quality, Safety And Patient and has the following contact phone number (916) 384-7544.

The CLIA number assigned to this NPI record is 05D0706846 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/17/2016 and was last updated on 4/25/2024.


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
1208600000XSurgeryNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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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