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DSH050305K 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
Outpatient Rehabilitation Services - Outpatient Rehabilitation
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050305K
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
7/11/2019
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
2 North
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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