Sutter Lakeside Hospital in Lakeport - Rural
Sutter Lakeside Hospital - NPI 1063407229
Sutter Lakeside Hospital is a Rural in Lakeport, California. Sutter Lakeside Hospital practices all healthcare services and medical treatments related to Rural. The NPI Number for Sutter Lakeside Hospital is 1063407229. The last update date is 2008-07-31.
Sutter Lakeside Hospital's current location address is 5176 Hill Rd E, Lakeport, California. You can contact this provider via phone number 7072625181 and fax number 7072625006. The mailing address for Sutter Lakeside Hospital is 5176 Hill Rd E, Lakeport, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sutter Lakeside Hospital |
|---|---|
| Address | 5176 Hill Rd E, Lakeport, California |
| Phone Number | 7072625181 |
| Fax Number | 7072625006 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mather Kelly |
| Credentials | CEO |
| Telephone Number | 7072625001 |
NPI Number Detail
| NPI Number | 1063407229 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 5176 Hill Rd E |
|---|---|
| City | Lakeport |
| State | California (CA) |
| Post Code | 954536300 |
| Phone Number | 7072625181 |
| Fax Number | 7072625006 |
Provider's Primary Taxonomy Detail
| Speciality | Rural |
|---|---|
| Taxonomy | 282Nr1301X |
| Licence No | 10000118 |
|
Definition: Provides comprehensive inpatient medical and surgical care in rural areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HSP13994F | HAP | ||
| ZZZC1701Z | BLUE SHIELD | ||
| HSP40476F | CA | -- | |
| 50476 | CA | MEDICARE PROVIDER NUMBER | |
| CGP127375 | CA | CHILDREN SERVICES | |
| 50476 | BLUE CROSS | ||
| C083612 | CHAMPVA | ||
| ZZR00476F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sutter Lakeside Hospital by the Centers for Medicare & Medicaid Services?
The Sutter Lakeside Hospital has been issued the NPI (National Provider Identifier) 1063407229 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Sutter Lakeside Hospital located?
The Sutter Lakeside Hospital is located at 5176 Hill Rd E, Lakeport, CA 954536300.
What is the Sutter Lakeside Hospital's specialty and taxonomy code?
The Sutter Lakeside Hospital's specialty is Rural, and the corresponding taxonomy code is 282Nr1301X.
When did the Sutter Lakeside Hospital receive its 1063407229?
The Sutter Lakeside Hospital was issued its 1063407229 on 2005-09-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Sutter Lakeside Hospital most recently updated?
The details pertaining to the Sutter Lakeside Hospital, including its address, specialty, and other relevant information, were last refreshed on 2008-07-31.