Sutter Lakeside Community Health Center

LBN: Sutter West Bay Hospitals
Sutter Lakeside Community Health Center is an health care organization with primary practice located at 750 Old Lucerne Road , Upper Lake CA 95485-0000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Sutter West Bay Hospitals can be contacted via phone (707) 275-9066, or through Hunter, Brian Trent via phone (916) 297-8555.

Contact Information

Primary practice address
750 Old Lucerne Road Upper Lake CA 95485-0000
Phone: (707) 275-9066
Fax: (707) 275-9070
Website:
Map and Directions
Authorized official contact:
Name: Hunter, Brian Trent
Phone: (916) 297-8555

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 110000094 California

Profile Details

NPI number 1629301775
LBN Legal business name Sutter West Bay Hospitals
DBA Doing business as Sutter Lakeside Community Health Center
Authorized official Hunter, Brian Trent
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2009
Last updated Jan 20th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629301775 NPPES
California MEDICAID RKY18547F

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