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DSH050043 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
DSH050043
Medicare Provider Number
050043
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
350 HAWTHORNE AVENUE
OAKLAND, CA 94609
Billing Address
Sutter Health
PO Box 619110
Roseville, CA 95661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/12/12 add medicaid number 8/8/06 - ADDRESS UPDATE - OLD ADDRESS 3012 SUMMIT STREET
03/12/2012
8/8/06 - ADDRESS UPDATE - OLD ADDRESS 3012 SUMMIT STREET
06/01/2006
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