340B Drug Pricing Program Database


DSH050108N SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO (Active) - information as of 4/28/2025 12:40:41 AM

Main Details
SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO
SMCS Infusion Clinic at Amador - Infusion
Disproportionate Share Hospital
No
DSH050108N
050108


Additional Details
Active
7/19/2024
10/1/2024
7/23/2024

Contacts

Sutter Health
Hollie Seeley, CEO
(916) 887-4500

Sutter Health
Rachel L Dunbar, 340B Analyst
(916) 952-3480

Addresses

100 Mission Blvd
Jackson, CA 95642

Sutter Shared Services
P.O. Box 619110
Accounts Payable
Roseville, CA 95661


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CAHSP40108F1811946734
AL 1811946734
AK 1811946734
AZ 1811946734
CT 1811946734
DE 1811946734
DC 1811946734
FL 1811946734
GA 1811946734
HI 1811946734
KS 1811946734
ME 1811946734
MD 1811946734
MA 1811946734
MI 1811946734
MO 1811946734
MT 1811946734
NE 1811946734
NV 1811946734
NH 1811946734
NJ 1811946734
NM 1811946734
OH 1811946734
OK 1811946734
PA 1811946734
RI 1811946734
SC 1811946734
SD 1811946734
TX 1811946734
VT 1811946734
WA 1811946734
WY 1811946734
AR 1811946734
CO 1811946734
ID 1811946734
IL 1811946734
IA 1811946734
KY 1811946734
LA 1811946734
MN 1811946734
MS 1811946734
NY 1811946734
NC 1811946734
ND 1811946734
OR 1811946734
TN 1811946734
UT 1811946734
VA 1811946734
WV 1811946734
WI 1811946734
Shipping Addresses

Sutter Valley Hospitals, dba Sutter Amador Hospital Pharmacy
200 Mission Blvd
Jackson, CA 95642
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH050108AChildDSHSUTTER MEDICAL CENTER SACRAMENTOMEMORIAL CAMPUS5151 F STREETSACRAMENTOCATerminated
DSH050108BChildDSHSUTTER MEDICAL CENTER SACRAMENTOSutter Infusion Pharmacy2800 L Street BuhlerSacramentoCATerminated
DSH050108CChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOOncology Infusion Center2800 L Street Suite 215SacramentoCAActive
DSH050108DChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOFort Sutter Infusion Center1020 29th Street Suite 690SacramentoCATerminated
DSH050108EChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOAmbulatory Surgery2725 Capitol Avenue Suite 200SacramentoCAActive
DSH050108FChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOOncology Infusion Center - Oncology2800 L StreetSacramentoCAActive
DSH050108GChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOGamma Knife2801 K StreetSacramentoCAActive
DSH050108HChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOOutpatient Heart Specialty Services2800 L StreetSacramentoCAActive
DSH050108JChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOPharmacotherapy Clinic Fort Sutter - Pharmacotherapy clinic1020 29th StreetSacramentoCAActive
DSH050108KChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOChildren's Outpatient Clinics - Sacramento1625 Stockton BlvdSacramentoCAActive
DSH050108LChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOSMCS Infusion Clinic at Auburn - Infusion11710 Education St.AuburnCAActive
DSH050108MChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOSMCS Infusion Clinic at Davis - Infusion2020 Sutter PlaceDavisCAActive
DSH050108NChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOSMCS Infusion Clinic at Amador - Infusion100 Mission BlvdJacksonCAActive
DSH050108PChildDSHSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTOSMCS Infusion Clinic at Roseville - Infusion8 Medical PlazaRosevilleCAActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateGroup Change RequestDunbar, Rachel 340B Analyst Sutter Health 9169523480Dunbar, Rachel L 340B Analyst Sutter Health 916952348012/4/2024 7:36 AM
DetailsStateUpdate ApprovedActive10/1/2024 12:01 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request AR9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request CO9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request ID9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request IL9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request IA9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request KY9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request LA9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request MS9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request NY9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request NC9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request ND9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request OR9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request TN9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request UT9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request VA9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request WV9/23/2024 8:16 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467349/23/2024 8:16 PM
Medicaid BillingNPI: StateInsertGroup Change Request WI9/23/2024 8:16 PM
ContactsSigned ByInsertNew Registration Seeley, Hollie CEO Sutter Health 91688745007/23/2024 6:54 AM
Details340B IDUpdateNew Registration DSH050108N7/23/2024 6:54 AM
DetailsEntity NameUpdateNew RegistrationSUTTER MEDICAL CENTER - SACRAMENTOSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO7/23/2024 6:54 AM
DetailsEntity SubnameUpdateNew RegistrationSMCS Infusion Clinic at AmadorSMCS Infusion Clinic at Amador - Infusion7/23/2024 6:54 AM
DatesParticipating Approval DateUpdateNew Registration 7/23/2024 6:54:01 AM7/23/2024 6:54 AM
DetailsStateUpdateNew RegistrationPendingApproved7/23/2024 6:54 AM
DatesSigned By DateUpdateNew Registration 7/19/2024 6:22:33 PM7/23/2024 6:54 AM
DatesStart DateUpdateNew Registration 10/1/2024 12:00:00 AM7/23/2024 6:54 AM
AddressesMain AddressInsertNew Registration  100 Mission Blvd Jackson, CA 956427/19/2024 9:36 AM
AddressesBilling AddressInsertNew Registration Sutter Shared Services P.O. Box 619110 Accounts Payable Roseville, CA 956617/19/2024 9:36 AM
AddressesShipping AddressInsertNew Registration Sutter Valley Hospitals, dba Sutter Amador Hospital Pharmacy 200 Mission Blvd Jackson, CA 956427/19/2024 9:36 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False7/19/2024 9:36 AM
Medicaid BillingMedicaid: NumberInsertNew Registration HSP40108F7/19/2024 9:36 AM
Medicaid BillingMedicaid: StateInsertNew Registration CA7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration CA7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration AL7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration AK7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration AZ7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration CT7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration DE7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration DC7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration FL7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration GA7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration HI7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration KS7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration ME7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration MD7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration MA7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration MI7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration MO7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration MT7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration NE7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration NV7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration NH7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration NJ7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration NM7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration OH7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration OK7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration PA7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration RI7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration SC7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration SD7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration TX7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration VT7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration WA7/19/2024 9:36 AM
Medicaid BillingNPI: NumberInsertNew Registration 18119467347/19/2024 9:36 AM
Medicaid BillingNPI: StateInsertNew Registration WY7/19/2024 9:36 AM
ContactsPrimary ContactInsertNew Registration Dunbar, Rachel 340B Analyst Sutter Health 91695234807/19/2024 9:36 AM
ContactsAuthorizing OfficialInsertNew Registration Seeley, Hollie CEO Sutter Health 91688745007/19/2024 9:36 AM
DetailsAssistance Received From DateInsertNew Registration  7/19/2024 9:36 AM
DetailsAssistance Received To DateInsertNew Registration  7/19/2024 9:36 AM
DetailsLast Recertification DateInsertNew Registration  7/19/2024 9:36 AM
DetailsGrant NumberInsertNew Registration  7/19/2024 9:36 AM
Details340B IDInsertNew Registration  7/19/2024 9:36 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/19/2024 9:36 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/19/2024 9:36 AM
DetailsMedicare Provider NumberInsertNew Registration 0501087/19/2024 9:36 AM
DetailsEntity NameInsertNew Registration SUTTER MEDICAL CENTER - SACRAMENTO7/19/2024 9:36 AM
DetailsNOFO NumberInsertNew Registration  7/19/2024 9:36 AM
DetailsProgram CodeInsertNew Registration DSH7/19/2024 9:36 AM
DetailsEntity SubnameInsertNew Registration SMCS Infusion Clinic at Amador7/19/2024 9:36 AM
DatesParticipating Approval DateInsertNew Registration  7/19/2024 9:36 AM
DetailsStateInsertNew Registration Pending7/19/2024 9:36 AM
DatesRegistration DateInsertNew Registration 7/19/2024 9:36:23 AM7/19/2024 9:36 AM
DatesSigned By DateInsertNew Registration  7/19/2024 9:36 AM
DatesStart DateInsertNew Registration  7/19/2024 9:36 AM
TerminationsTermination CommentsInsertNew Registration  7/19/2024 9:36 AM
TerminationsTermination DateInsertNew Registration  7/19/2024 9:36 AM
TerminationsTermination Effective DateInsertNew Registration  7/19/2024 9:36 AM
TerminationsTermination ReasonInsertNew Registration  7/19/2024 9:36 AM