institution
Sutter Lakeside Hospital
Rural Acute Care Hospital in Lakeport, California
NPI 1063407229

Sutter Lakeside Hospital is a Rural Acute Care Hospital based in Lakeport, CA and is specialized in Rural. Sutter Lakeside Hospital practices in Lakeport, CA. The NPI Number for Sutter Lakeside Hospital is 1063407229 and holds a License No. 010000118 (California).

The current practice location address for Sutter Lakeside Hospital is 5176 Hill Rd E, Lakeport, CA and can be reached out via phone at 707-262-5181 and via fax at 707-262-5006.

Location: 5176 Hill Rd E, Lakeport, CA, 95453-6300
institution
Provider Profile Details
NPI Number
1063407229
Provider Name
Sutter Lakeside Hospital
Credential
Provider Entity Type
Organization
Address
5176 Hill Rd E, Lakeport, CA, 95453-6300
Phone Number
707-262-5181
Fax Number
707-262-5006
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSP13994F 01 HAP
ZZZC1701Z 01 BLUE SHIELD
HSP40476F 05 CA
050476 01 CA MEDICARE PROVIDER NUMBER
CGP127375 01 CA CHILDREN SERVICES
050476 01 BLUE CROSS
C083612 01 CHAMPVA
ZZR00476F 05 CA
institution
Provider Business Practice Location Address Details
Address
5176 Hill Rd E
City
State
Zip
95453-6300
Phone Number
707-262-5181
Fax Number
707-262-5006
person
Provider Business Mailing Address Details
Address
5176 Hill Rd E
City
State
Zip
95453-6300
Phone Number
707-262-5181
Fax Number
707-262-5006
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Rural
Taxonomy
License No.
010000118 (California)
Definition
Definition to come...
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