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DSH050108J SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO (Active)
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Main Details
Name
SUTTER VALLEY HOSPITALS DBA SUTTER MEDICAL CENTER SACRAMENTO
Subdivision Name
Pharmacotherapy Clinic Fort Sutter - Pharmacotherapy clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050108J
Medicare Provider Number
050108
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/14/2023
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Sutter Health
Hollie Seeley, CEO
(916) 887-4500
Primary Contact
Sutter Health
Rachel L Dunbar, 340B Analyst
(916) 952-3480
Addresses
Street Address
1020 29th Street
Suite 690
Sacramento, CA 95816
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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