340B Drug Pricing Program Database


DSH050108G SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO (Active) - information as of 4/23/2025 10:54:31 PM

Main Details
SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO
Gamma Knife
Disproportionate Share Hospital
No
DSH050108G
050108


Additional Details
Active
4/6/2020
7/1/2020
4/7/2020
8/14/2024

Contacts

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

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

Addresses

2801 K Street
Suite 110
Sacramento, CA 95816

Sutter Shared Services Accounts Payable
PO Box 619110
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

Same as Street Address
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 6:23:33 PM8/14/2024 2:47:28 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 DateUpdateRecertification8/25/2022 4:23:34 PM8/14/2023 6:23:33 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
ContactsAuthorizing OfficialUpdateChange RequestNoakes, Timothy J. CFO Sutter Health 9168874500Noakes, Timothy J CFO Sutter Health 916887450012/13/2022 8:26 AM
DetailsLast Recertification DateUpdateRecertification8/25/2021 2:51:53 PM8/25/2022 4:23:34 PM8/25/2022 4:23 PM
DetailsLast Recertification DateUpdateRecertification9/3/2020 8:53:41 AM8/25/2021 2:51:53 PM8/25/2021 2:51 PM
ContactsPrimary ContactUpdateChange RequestChapman, David Director of Pharmacy Finance and Analytics, Pharmacy Sutter Health 9162816261Dunbar, Rachel Valley 340B Analyst Sutter Health 91695234807/29/2021 7:13 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 1:09 PM
Medicaid BillingNPI: StateUpdateRecertification CA9/3/2020 8:53 AM
DetailsLast Recertification DateUpdateRecertification 9/3/2020 8:53:41 AM9/3/2020 8:53 AM
DetailsEntity SubnameUpdateRecertificationGamma Knife - Gamma KnifeGamma Knife9/3/2020 8:53 AM
DetailsStateUpdate ApprovedActive7/1/2020 12:00 AM
ContactsSigned ByInsertNew Registration Noakes, Timothy J. CFO Sutter Health 91688745004/7/2020 10:15 AM
Details340B IDUpdateNew Registration DSH050108G4/7/2020 10:15 AM
DetailsEntity NameUpdateNew RegistrationSUTTER MEDICAL CENTER - SACRAMENTOSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO4/7/2020 10:15 AM
DetailsEntity SubnameUpdateNew RegistrationGamma KnifeGamma Knife - Gamma Knife4/7/2020 10:15 AM
DatesParticipating Approval DateUpdateNew Registration 4/7/2020 10:15:53 AM4/7/2020 10:15 AM
DetailsStateUpdateNew RegistrationPendingApproved4/7/2020 10:15 AM
DatesSigned By DateUpdateNew Registration 4/6/2020 5:38:48 PM4/7/2020 10:15 AM
DatesStart DateUpdateNew Registration 7/1/2020 12:00:00 AM4/7/2020 10:15 AM
AddressesMain AddressInsertNew Registration  2801 K Street Suite 110 Sacramento, CA 958164/6/2020 4:09 PM
AddressesBilling AddressInsertNew Registration Sutter Shared Services Accounts Payable PO Box 619110 Roseville, CA 956614/6/2020 4:09 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False4/6/2020 4:09 PM
Medicaid BillingMedicaid: NumberInsertNew Registration HSP40108F4/6/2020 4:09 PM
Medicaid BillingMedicaid: StateInsertNew Registration CA4/6/2020 4:09 PM
Medicaid BillingNPI: NumberInsertNew Registration 18119467344/6/2020 4:09 PM
ContactsAuthorizing OfficialInsertNew Registration Noakes, Timothy J. CFO Sutter Health 91688745004/6/2020 4:09 PM
ContactsPrimary ContactInsertNew Registration Russo, Raechel Pharmacy 340B Program Coordinator Sutter Health 91628685564/6/2020 4:09 PM
DetailsLast Recertification DateInsertNew Registration  4/6/2020 4:09 PM
DetailsGrant NumberInsertNew Registration  4/6/2020 4:09 PM
Details340B IDInsertNew Registration  4/6/2020 4:09 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/6/2020 4:09 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/6/2020 4:09 PM
DetailsMedicare Provider NumberInsertNew Registration 0501084/6/2020 4:09 PM
DetailsEntity NameInsertNew Registration SUTTER MEDICAL CENTER - SACRAMENTO4/6/2020 4:09 PM
DetailsProgram CodeInsertNew Registration DSH4/6/2020 4:09 PM
DetailsEntity SubnameInsertNew Registration Gamma Knife4/6/2020 4:09 PM
DatesParticipating Approval DateInsertNew Registration  4/6/2020 4:09 PM
DetailsStateInsertNew Registration Pending4/6/2020 4:09 PM
DatesRegistration DateInsertNew Registration 4/6/2020 4:09:38 PM4/6/2020 4:09 PM
DatesSigned By DateInsertNew Registration  4/6/2020 4:09 PM
DatesStart DateInsertNew Registration  4/6/2020 4:09 PM
TerminationsTermination CommentsInsertNew Registration  4/6/2020 4:09 PM
TerminationsTermination DateInsertNew Registration  4/6/2020 4:09 PM
TerminationsTermination Effective DateInsertNew Registration  4/6/2020 4:09 PM
TerminationsTermination ReasonInsertNew Registration  4/6/2020 4:09 PM