| Sutter Medical Center Of Santa Rosa | |
|
3325 Chanate Rd Santa Rosa CA 95404-1707 | |
| (707) 576-4000 | |
| (707) 573-7364 |
| Full Name | Sutter Medical Center Of Santa Rosa |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3325 Chanate Rd, Santa Rosa, California |
| Authorized Official Name and Position | Avery Schlesenberg (CFO) |
| Authorized Official Contact | 7075764009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sutter Medical Center Of Santa Rosa 3325 Chanate Rd Santa Rosa CA 95404-1707 Ph: (707) 576-4000 | Sutter Medical Center Of Santa Rosa 3325 Chanate Rd Santa Rosa CA 95404-1707 Ph: (707) 576-4000 |
| NPI Number | 1891909032 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891909032 | NPI | - | NPPES |
| HSM00291G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (California) | Primary |
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