SUTTER CENTRAL VALLEY HOSPITALS NPI 1528202090

NPI Information

NPI: 1528202090
Provider Name: SUTTER CENTRAL VALLEY HOSPITALS

Doing Business As: MEMORIAL HOSPITAL LOS BANOS/RURAL HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
400 W I ST STE C
LOS BANOS, CA
ZIP 93635
Phone: (209) 710-6333
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SUTTER CENTRAL VALLEY HOSPITALS is a rural health clinic center in Los Banos, CA. SUTTER CENTRAL VALLEY HOSPITALS NPI is 1528202090. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Hospital Los Banos/rural Health Clinic.

The provider's business location address is:

400 W I ST STE C
LOS BANOS, CA
ZIP 93635-459
Phone: (209) 710-6333
Fax: (209) 827-0554

The provider's authorized official is John Gates .
The authorized official title is Cfo Vpba and has the following contact phone number (510) 450-7357.

The CLIA number assigned to this NPI record is 05D1059584 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2009 and was last updated on 4/21/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	040000177	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55-3998	MEDICARE PIN
2	553998	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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