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SUTTER CENTRAL VALLEY HOSPITALS NPI 1629059746


NPI Information

NPI: 1629059746
Provider Name: SUTTER CENTRAL VALLEY HOSPITALS

Doing Business As: MEMORIAL MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1700 COFFEE RD
MODESTO, CA
ZIP 95355
Phone: (209) 526-4500
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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 1629059746. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Medical Center.

The provider's business location address is:

1700 COFFEE RD
MODESTO, CA
ZIP 95355-803
Phone: (209) 526-4500

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

The enumeration date for this NPI number is 11/7/2005 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory05D0609849CALIFORNIANo
2282N00000XGeneral 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
1ZZR00603FMEDICAIDCALIFORNIA
2050557MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
3MTA00603FMEDICAIDCALIFORNIA
4HSC00557FMEDICAIDCALIFORNIA
5HSP40557FMEDICAIDCALIFORNIA
6ZZR00154FMEDICAIDCALIFORNIA

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: 11/14/2023

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