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DSH050108M SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO (Active)
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Main Details
Name
SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO
Subdivision Name
SMCS Infusion Clinic at Davis - Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050108M
Medicare Provider Number
050108
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/1/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/23/2024
Last Recertification Date
Contacts
Authorizing Official
Sutter Health
Hollie Seeley, CEO
(916) 887-4500
Primary Contact
Sutter Health
Rachel L Dunbar, 340B Analyst
(916) 952-3480
Addresses
Street Address
2020 Sutter Place
Suite #105
Davis, CA 95616
Billing Address
Sutter Shared Services
P.O. Box 619110
Accounts Payable
Roseville, CA 95661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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