340B Drug Pricing Program Database


DSH050108K SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO (Active) - information as of 5/5/2025 10:07:38 PM

Main Details
SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO
Children's Outpatient Clinics - Sacramento
Disproportionate Share Hospital
No
DSH050108K
050108


Additional Details
Active
10/3/2023
1/1/2024
10/20/2023
8/14/2024

Contacts

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

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

Addresses

1625 Stockton Blvd
Suite 112
Sacramento, CA 95816

Same as Street Address


  • 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 
DetailsEntity SubnameUpdateChange RequestPediatric Specialty Pulmonary Cystic Fibrosis - ClinicChildren's Outpatient Clinics - Sacramento12/27/2024 8:25 AM
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 DateUpdateRecertification 8/14/2024 2:48:28 PM8/14/2024 2:48 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
DetailsStateUpdate ApprovedActive1/1/2024 12:01 AM
ContactsSigned ByInsertNew Registration Noakes, Timothy J CFO Sutter Health 916887450010/20/2023 2:53 PM
Details340B IDUpdateNew Registration DSH050108K10/20/2023 2:53 PM
DetailsEntity NameUpdateNew RegistrationSUTTER MEDICAL CENTER - SACRAMENTOSUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO10/20/2023 2:53 PM
DetailsEntity SubnameUpdateNew RegistrationPediatric Specialty Pulmonary Cystic FibrosisPediatric Specialty Pulmonary Cystic Fibrosis - Clinic10/20/2023 2:53 PM
DatesParticipating Approval DateUpdateNew Registration 10/20/2023 2:53:39 PM10/20/2023 2:53 PM
DetailsStateUpdateNew RegistrationPendingApproved10/20/2023 2:53 PM
DatesSigned By DateUpdateNew Registration 10/5/2023 8:49:22 AM10/20/2023 2:53 PM
DatesStart DateUpdateNew Registration 1/1/2024 12:00:00 AM10/20/2023 2:53 PM
AddressesMain AddressInsertNew Registration  1625 Stockton Blvd Suite 112 Sacramento, CA 9581610/3/2023 10:21 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/3/2023 10:21 AM
Medicaid BillingMedicaid: NumberInsertNew Registration HSP40108F10/3/2023 10:21 AM
Medicaid BillingMedicaid: StateInsertNew Registration CA10/3/2023 10:21 AM
Medicaid BillingNPI: NumberInsertNew Registration 181194673410/3/2023 10:21 AM
Medicaid BillingNPI: StateInsertNew Registration CA10/3/2023 10:21 AM
ContactsPrimary ContactInsertNew Registration Dunbar, Rachel Valley 340B Analyst Sutter Health 916952348010/3/2023 10:21 AM
ContactsAuthorizing OfficialInsertNew Registration Noakes, Timothy J CFO Sutter Health 916887450010/3/2023 10:21 AM
DetailsAssistance Received From DateInsertNew Registration  10/3/2023 10:21 AM
DetailsAssistance Received To DateInsertNew Registration  10/3/2023 10:21 AM
DetailsLast Recertification DateInsertNew Registration  10/3/2023 10:21 AM
DetailsGrant NumberInsertNew Registration  10/3/2023 10:21 AM
Details340B IDInsertNew Registration  10/3/2023 10:21 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/3/2023 10:21 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/3/2023 10:21 AM
DetailsMedicare Provider NumberInsertNew Registration 05010810/3/2023 10:21 AM
DetailsEntity NameInsertNew Registration SUTTER MEDICAL CENTER - SACRAMENTO10/3/2023 10:21 AM
DetailsNOFO NumberInsertNew Registration  10/3/2023 10:21 AM
DetailsProgram CodeInsertNew Registration DSH10/3/2023 10:21 AM
DetailsEntity SubnameInsertNew Registration Pediatric Specialty Pulmonary Cystic Fibrosis10/3/2023 10:21 AM
DatesParticipating Approval DateInsertNew Registration  10/3/2023 10:21 AM
DetailsStateInsertNew Registration Pending10/3/2023 10:21 AM
DatesRegistration DateInsertNew Registration 10/3/2023 10:21:23 AM10/3/2023 10:21 AM
DatesSigned By DateInsertNew Registration  10/3/2023 10:21 AM
DatesStart DateInsertNew Registration  10/3/2023 10:21 AM
TerminationsTermination CommentsInsertNew Registration  10/3/2023 10:21 AM
TerminationsTermination DateInsertNew Registration  10/3/2023 10:21 AM
TerminationsTermination Effective DateInsertNew Registration  10/3/2023 10:21 AM
TerminationsTermination ReasonInsertNew Registration  10/3/2023 10:21 AM