340B Drug Pricing Program Database


DSH050108 SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO (Active) - information as of 5/26/2025 12:51:19 AM

Main Details
SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO
Disproportionate Share Hospital
No
DSH050108
050108


Additional Details
Active
2/27/2006
4/1/2006
2/28/2006
8/14/2024

Contacts

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

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

Addresses

2825 Capitol Avenue
SACRAMENTO, CA 95816

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 Oncology Infusion Center
2800 L Street
Suite 320
Sacramento, CA 95816

Sutter Infusion Pharmacy
2800 L Street
BB# 705
Sacramento, CA 95816

Oncology Infusion Center
2800 L Street
Suite 215
Sacramento, CA 95816

Sutter Valley Hospitals, dba Roseville Medical Center Pharmacy
8 Medical Plaza
Suite 230
Roseville, CA 95661

Sutter Valley Hospitals, dba Sutter Amador Hospital Pharmacy
200 Mission Blvd
Jackson, CA 95642

Sutter Valley Hospitals, dba Sutter Auburn Faith Hospitals Pharmacy
11815 Education Street
Auburn, CA 95602

Sutter Valley Hospitals, dba Davis Hospital Pharmacy
2000 Sutter Place
Davis, CA 95616
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/14/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/14/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/14/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624107/14/202210/01/2022 05/31/202306/13/2023
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/14/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/14/202210/01/2022  10/01/2022
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/14/202210/01/2022  10/01/2022
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005610/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621910/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175710/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700410/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813310/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237410/19/202211/01/2022  11/01/2022
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/19/202211/01/2022  11/01/2022
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/19/202211/01/2022  11/01/2022
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/19/202211/01/2022  11/01/2022
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502810/19/202211/01/2022  11/01/2022
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/14/202210/01/2022  10/01/2022
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/14/202210/01/2022  10/01/2022
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/14/202210/01/2022  10/01/2022
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/14/202210/01/2022  10/01/2022
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03943 5039 FOLSOM BLVD
SACRAMENTOCA9581910/19/202211/01/2022 01/27/202502/03/2025
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09322 2085 FAIR OAKS BLVD
SACRAMENTOCA9582510/19/202211/01/2022 01/27/202502/03/2025
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09992 3338 ARDEN WAY
SACRAMENTOCA9582510/19/202211/01/2022 01/27/202502/03/2025
Contract DetailOPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191304/23/202407/01/2024  07/01/2024
Contract DetailOPTUM FRONTIER THERAPIES, LLC325 W ATHERTON RD SUITE 1
FLINTMI48507-260104/23/202407/01/2024  07/01/2024
Contract DetailOPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502901/20/202301/31/2023  01/31/2023
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850701/20/202301/31/2023  01/31/2023
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713001/20/202301/31/2023  01/31/2023
Contract DetailOPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824901/20/202301/31/2023  01/31/2023
Contract DetailOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729801/20/202301/31/2023  01/31/2023
Contract DetailOPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970501/20/202301/31/2023  01/31/2023
Contract DetailOPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140101/20/202301/31/2023  01/31/2023
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508501/20/202301/31/2023  01/31/2023
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/20/202301/31/2023  01/31/2023
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514610/19/202211/01/2022  11/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/19/202211/01/2022  11/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681310/19/202211/01/2022  11/01/2022
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/19/202211/01/2022  11/01/2022
Contract DetailSUTTER HEALTH SPECIALTY PHARMACY @ ABSMC2001 DWIGHT WAY STE 2182
BERKELEYCA9470404/13/202207/01/2022  07/01/2022
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
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
DetailsLast Recertification DateUpdateRecertification8/14/2023 6:23:59 PM8/14/2024 2:47:08 PM8/14/2024 2:47 PM
ContactsPrimary ContactUpdateProfile Change RequestDunbar, Rachel Valley 340B Analyst Sutter Health 9169523480Dunbar, Rachel 340B Analyst Sutter Health 91695234806/24/2024 4:44 PM
ContactsAuthorizing OfficialUpdateChange RequestYamanaka, Ronnie Chief Financial Officer Sutter Health 9167811253Seeley, Hollie CEO Sutter Health 91688745005/16/2024 6:20 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request AL2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request AK2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request AZ2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request CT2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request DE2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request DC2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request FL2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request GA2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request HI2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request KS2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request ME2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request MD2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request MA2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request MI2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request MO2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request MT2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request NE2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request NV2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request NH2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request NJ2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request NM2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request OH2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request OK2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request PA2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request RI2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request SC2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request SD2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request TX2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request VT2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request WA2/6/2024 5:14 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18119467342/6/2024 5:14 PM
Medicaid BillingNPI: StateInsertGroup Change Request WY2/6/2024 5:14 PM
ContactsAuthorizing OfficialUpdateChange RequestNoakes, Timothy J CFO Sutter Health 9168874500Yamanaka, Ronnie Chief Financial Officer Sutter Health 91678112531/22/2024 7:21 AM
DetailsLast Recertification DateUpdateRecertification8/31/2022 12:13:38 PM8/14/2023 6:23:59 PM8/14/2023 6:23 PM
ContactsPrimary ContactUpdateGroup Change RequestMinger, Patricia Pharmacy Technician Analyst Sutter Health 4156003202Dunbar, Rachel Valley 340B Analyst Sutter Health 91695234808/9/2023 11:34 AM
ContactsPrimary ContactUpdateGroup Change RequestDunbar, Rachel Valley 340B Analyst Sutter Health 9169523480Minger, Patricia Pharmacy Technician Analyst Sutter Health 41560032026/23/2023 9:44 AM
AddressesShipping AddressInsertChange Request Sutter Valley Hospitals, dba Roseville Medical Center Pharmacy 8 Medical Plaza Suite 230 Roseville, CA 956613/24/2023 7:56 AM
AddressesShipping AddressInsertChange Request Sutter Valley Hospitals, dba Sutter Amador Hospital Pharmacy 200 Mission Blvd Jackson, CA 956423/24/2023 7:56 AM
AddressesShipping AddressInsertChange Request Sutter Valley Hospitals, dba Sutter Auburn Faith Hospitals Pharmacy 11815 Education Street Auburn, CA 956023/24/2023 7:56 AM
AddressesShipping AddressInsertChange Request Sutter Valley Hospitals, dba Davis Hospital Pharmacy 2000 Sutter Place Davis, CA 956163/24/2023 7:56 AM
ContactsAuthorizing OfficialUpdateChange RequestNoakes, Timothy J. CFO Sutter Health 9168874500Noakes, Timothy J CFO Sutter Health 916887450012/13/2022 8:26 AM
DetailsLast Recertification DateUpdateRecertification8/26/2021 7:07:07 AM8/31/2022 12:13:38 PM8/31/2022 12:13 PM
AddressesShipping AddressInsertChange Request Oncology Infusion Center 2800 L Street Suite 215 Sacramento, CA 958161/12/2022 2:57 PM
DetailsLast Recertification DateUpdateRecertification9/4/2020 10:16:53 PM8/26/2021 7:07:07 AM8/26/2021 7:07 AM
ContactsPrimary ContactUpdateChange RequestChapman, David Director of Pharmacy Finance and Analytics, Pharmacy Sutter Health 9162816261Dunbar, Rachel Valley 340B Analyst Sutter Health 91695234807/29/2021 7:14 AM
ContactsPrimary ContactUpdateChange RequestRusso, Raechel Pharmacy 340B Program Coordinator Sutter Health 9162868556Chapman, David Director of Pharmacy Finance and Analytics, Pharmacy Sutter Health 916281626110/27/2020 1:06 PM
Medicaid BillingNPI: StateUpdateRecertification CA9/4/2020 10:16 PM
DetailsLast Recertification DateUpdateRecertification8/21/2019 8:23:24 PM9/4/2020 10:16:53 PM9/4/2020 10:16 PM
DetailsLast Recertification DateUpdateRecertification8/23/2018 12:11:23 PM8/21/2019 8:23:24 PM8/21/2019 8:23 PM
ContactsPrimary ContactUpdateProfile Change RequestRusso, Raechel Pharmacy 340B Program Coordinator Sutter Health 9168877946Russo, Raechel Pharmacy 340B Program Coordinator Sutter Health 91628685566/5/2019 3:38 PM
ContactsAuthorizing OfficialUpdateChange RequestSooHoo, Richard CFO Sutter Health 9167333811Noakes, Timothy J. CFO Sutter Health 91688745003/7/2019 12:34 PM
AddressesShipping AddressDeleteChange RequestSutter Infusion Pharmacy 2800 L Street BB # 705 Sacramento, CA 95816 12/19/2018 12:47 PM
AddressesShipping AddressDeleteChange RequestSutter Infusion Pharmacy 2800 L Street BB#445 Sacramento, CA 95816 12/19/2018 12:47 PM
AddressesShipping AddressInsertChange Request Sutter Infusion Pharmacy 2800 L Street BB # 705 Sacramento, CA 958168/23/2018 12:11 PM
AddressesShipping AddressInsertRecertification Sutter Infusion Pharmacy 2800 L Street BB# 705 Sacramento, CA 958168/23/2018 12:11 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/23/2018 12:11 PM
Medicaid BillingMedicaid: NumberInsertRecertification HSP40108F8/23/2018 12:11 PM
Medicaid BillingMedicaid: StateInsertRecertification CA8/23/2018 12:11 PM
Medicaid BillingMedicaid: NumberDeleteRecertificationHSC40108F (CA) 8/23/2018 12:11 PM
DetailsLast Recertification DateUpdateRecertification11/17/2017 2:25:37 PM8/23/2018 12:11:23 PM8/23/2018 12:11 PM
ContactsPrimary ContactUpdateProfile Change RequestRusso, Raechel Pharmacy 340B Program Coordinator Sutter Health 9164547501Russo, Raechel Pharmacy 340B Program Coordinator Sutter Health 91688779466/19/2018 6:54 PM
AddressesShipping AddressInsertChange Request Sutter Oncology Infusion Center 2800 L Street Suite 320 Sacramento, CA 958162/1/2018 7:45 AM
ContactsPrimary ContactUpdateRecertificationWelcher, Melanie 340B Program Cooridinator 9164546669Russo, Raechel Pharmacy 340B Program Coordinator Sutter Health 916454750111/17/2017 2:25 PM
DetailsLast Recertification DateUpdateRecertification9/6/2016 12:00:00 AM11/17/2017 2:25:37 PM11/17/2017 2:25 PM
DetailsEntity NameUpdateRecertificationSUTTER MEDICAL CENTER SACRAMENTOSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO11/17/2017 2:25 PM
ContactsAuthorizing OfficialUpdateChange RequestSooHoo, Richard CFO 9167333811SooHoo, Richard CFO Sutter Health 916733381110/23/2017 3:29 PM
ContactsAuthorizing OfficialUpdate GREEN, KATHERINE CFO 9167338868SooHoo, Richard CFO 91673338116/22/2017 12:28 PM
AddressesMain AddressInsert   2825 Capitol Avenue SACRAMENTO, CA 958166/22/2017 12:16 PM
AddressesBilling AddressInsert  Sutter Shared Services P.O. Box 619110 Accounts Payable Roseville, CA 956616/22/2017 12:16 PM
AddressesShipping AddressInsert  Sutter Infusion Pharmacy 2800 L Street BB#445 Sacramento, CA 958166/22/2017 12:16 PM
ContactsPrimary ContactUpdate MILLETT-SNODGRASS, CAROL REGIONAL AREA-WIDE DIRECTOR 9164546740Welcher, Melanie 340B Program Cooridinator 91645466694/10/2017 9:33 AM
DetailsLast Recertification DateUpdate 9/1/2015 12:00:00 AM9/6/2016 12:00:00 AM9/6/2016 11:51 AM
Medicaid BillingMedicaid: NumberUpdate PHB436680HSC40108F12/2/2015 7:44 AM
Medicaid BillingMedicaid: Is PrimaryUpdate TrueFalse9/1/2015 2:32 PM
DetailsLast Recertification DateUpdate 9/3/2014 12:00:00 AM9/1/2015 12:00:00 AM9/1/2015 2:32 PM
DetailsEntity SubnameUpdate GENERAL CAMPUS 1/5/2015 2:08 PM
DetailsLast Recertification DateUpdate 9/12/2013 12:00:00 AM9/3/2014 12:00:00 AM9/3/2014 1:28 PM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM9/12/2013 12:00:00 AM9/12/2013 2:45 PM
ContactsPrimary ContactInsert  MILLETT-SNODGRASS, CAROL REGIONAL AREA-WIDE DIRECTOR 91645467405/25/2012 10:05 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/25/2012 10:05 AM
Medicaid BillingNPI: NumberInsert  18119467343/22/2012 10:43 AM
ContactsAuthorizing OfficialInsert  GREEN, KATHERINE CFO 91673388681/13/2010 3:26 PM
Medicaid BillingMedicaid: Is PrimaryInsert  True2/27/2006 2:47 PM
Medicaid BillingMedicaid: NumberInsert  PHB4366802/27/2006 2:47 PM
Medicaid BillingMedicaid: StateInsert  CA2/27/2006 2:47 PM
DetailsLast Recertification DateInsert   2/27/2006 2:47 PM
DetailsGrant NumberInsert   2/27/2006 2:47 PM
Details340B IDInsert  DSH0501082/27/2006 2:47 PM
DetailsIs Authorizing Official EHB DataInsert   2/27/2006 2:47 PM
DatesLast Date That 340B Drugs PurchasedInsert   2/27/2006 2:47 PM
DetailsMedicare Provider NumberInsert  0501082/27/2006 2:47 PM
DetailsEntity NameInsert  SUTTER MEDICAL CENTER SACRAMENTO2/27/2006 2:47 PM
DetailsProgram CodeInsert  DSH2/27/2006 2:47 PM
DetailsEntity SubnameInsert  GENERAL CAMPUS2/27/2006 2:47 PM
DatesParticipating Approval DateInsert  2/28/2006 12:00:00 AM2/27/2006 2:47 PM
DetailsStateInsert  Active2/27/2006 2:47 PM
DatesRegistration DateInsert  2/27/2006 12:00:00 AM2/27/2006 2:47 PM
DatesSigned By DateInsert  2/24/2006 12:00:00 AM2/27/2006 2:47 PM
DatesStart DateInsert  4/1/2006 12:00:00 AM2/27/2006 2:47 PM
TerminationsTermination CommentsInsert   2/27/2006 2:47 PM
TerminationsTermination DateInsert   2/27/2006 2:47 PM
TerminationsTermination Effective DateInsert   2/27/2006 2:47 PM
TerminationsTermination ReasonInsert   2/27/2006 2:47 PM