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DSH050305 Sutter Bay Hospitals, dba Alta Bates Summit Medical Center (Active)
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Main Details
Name
Sutter Bay Hospitals, dba Alta Bates Summit Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050305
Medicare Provider Number
050305
Additional Details
Current Program Status
Active
Registration Date
6/1/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/1/2006
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Alta Bates Summit Medical Center
Ameet Nanda, Chief Operating Officer
(415) 600-1458
Primary Contact
Sutter Health
Rachel L Dunbar, 340B Analyst
(916) 952-3480
Addresses
Street Address
2450 ASHBY AVENUE
BERKELEY, CA 94705
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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8/8/06 - UPDATE ADDRESS - OLD ADDRESS WAS 3001 COLBY PLAZA
08/08/2006
8/8/06 - UPDATE ADDRESS - OLD ADDRESS WAS 3001 COLBY PLAZA
06/01/2006
3/12/12 add medicaid number 8/8/06 - UPDATE ADDRESS - OLD ADDRESS WAS 3001 COLBY PLAZA
06/01/2006
April 2025
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