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DSH050108K 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
Children's Outpatient Clinics - Sacramento
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH050108K
Medicare Provider Number
050108
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/20/2023
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
1625 Stockton Blvd
Suite 112
Sacramento, CA 95816
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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