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DSH050305L 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
PARTIAL HOSPITALIZATION PROGRAM - PARTIAL HOSPITALIZATION PROGRAM
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050305L
Medicare Provider Number
050305
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/24/2019
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
2001 Dwight Way
3rd Floor, South Building
Berkeley, CA 94704
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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