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DSH050043B 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
Alta Bates Summit CT
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050043B
Medicare Provider Number
050043
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/8/2014
Last Recertification Date
8/26/2024
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
3100 Summit Street
Rm 1180
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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