Basic Information
| Provider Information | |||||||||
| NPI: | 1801030887 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SUTTER NORTH MEDICAL FOUNDATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 PLUMAS BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | YUBA CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959915081 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5307495560 | ||||||||
| FaxNumber: | 5307495565 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 PLUMAS BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | YUBA CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959915081 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5307495560 | ||||||||
| FaxNumber: | 5307495565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2009 | ||||||||
| LastUpdateDate: | 04/22/2009 | ||||||||
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| AuthorizedOfficialLastName: | YAMAMOTO | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF EXECUTIVE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 5307493330 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.