Organization Name: | SUTTER NORTH MEDICAL FOUNDATION |
NPI Number: | 1538199252 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID YAMAMOTO (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 411 4th St Wheatland |
State: | CA US |
Postal Code: | 956929467 |
Phone Number: | 5306339398 |
Fax Number: | 5306330105 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |