Provider Demographics
NPI:1447494323
Name:SUTTER VALLEY HOSPITALS
Entity type:Organization
Organization Name:SUTTER VALLEY HOSPITALS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONFORTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-887-7040
Mailing Address - Street 1:PO BOX 160100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-0100
Mailing Address - Country:US
Mailing Address - Phone:800-353-3369
Mailing Address - Fax:916-978-8870
Practice Address - Street 1:200 MISSION BOULEVARD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-2564
Practice Address - Country:US
Practice Address - Phone:800-353-3369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUTTER VALLEY HOSPITALS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-23
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA030000008282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHSP40014GMedicaid
CAZZR00014GMedicaid
CAZZR00014GMedicaid
CACO052AMedicare UPIN