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DSH050108N 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 Amador - Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050108N
Medicare Provider Number
050108
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/19/2024
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
100 Mission Blvd
Jackson, CA 95642
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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