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DSH050305F 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 Outpatient Physical, Sports and Hand Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050305F
Medicare Provider Number
050305
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/12/2016
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
5700 Telegraph Avenue
Suite 200
Oakland, CA 94609
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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