SUTTER LAKESIDE HOSPITAL NPI 1053495879

NPI Information

  • NPI: 1053495879
  • Provider Name: SUTTER LAKESIDE HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Other Name: UPPER LAKE CLINIC RHC
  • Address: 5176 HILL RD E
    LAKEPORT, CA
    ZIP 95453
  • Phone: (707) 262-5001

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NPI Details

SUTTER LAKESIDE HOSPITAL is a rural health clinic center in Lakeport, CA. SUTTER LAKESIDE HOSPITAL NPI is 1053495879. The provider is registered as an organization entity type.
The provider Other Name Is Upper Lake Clinic Rhc.

The provider's business location address is:

5176 HILL RD E
LAKEPORT, CA
ZIP 95453-300
Phone: (707) 262-5001
Fax: (707) 262-5006

The provider's authorized official is Kelly Mather .
The authorized official title is Ceo and has the following contact phone number (707) 262-5001.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/22/2020.

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
1261QR1300XClinic/CenterRural HealthCALIFORNIAYes

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: 11/21/2025

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